Provider Demographics
NPI:1083481535
Name:KLIMKIEWICZ, MICHAEL A (DPT)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:KLIMKIEWICZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:11 FRIENDS LN STE 103
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1885
Mailing Address - Country:US
Mailing Address - Phone:215-968-1000
Mailing Address - Fax:215-968-1011
Practice Address - Street 1:11 FRIENDS LN STE 103
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1885
Practice Address - Country:US
Practice Address - Phone:215-968-1000
Practice Address - Fax:215-968-1011
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-0319072251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic