Vitaliy Kostyukov
NPI #1235690314 in Lansdale, Pennsylvania
Provider Information
- NPI Number
- 1235690314
- Entity Type
- Individual
- Name
- Vitaliy Kostyukov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Mar 29, 2019
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 660 N BROAD ST
- City
- Lansdale
- State
- Pennsylvania
- ZIP Code
- 19446-2361
- Phone
- (215) 361-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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