Logan N Nierzwicki, PT

NPI #1063969004 in River Forest, Illinois

Provider Information

NPI Number: 1063969004
Entity Type: Individual
Name: Logan N Nierzwicki, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 7, 2016
Last Updated: Oct 8, 2020

Practice Location

Address: 7341 A LAKE ST
City: River Forest
State: Illinois
ZIP Code: 60305
Phone: (708) 763-0564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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