Provider Demographics
NPI:1598970097
Name:STEVEN SYCK
Entity Type:Organization
Organization Name:STEVEN SYCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SYCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST A
Authorized Official - Phone:864-718-0367
Mailing Address - Street 1:112 FALCONS VEIW CT
Mailing Address - Street 2:
Mailing Address - City:WALHALLA
Mailing Address - State:SC
Mailing Address - Zip Code:29691
Mailing Address - Country:US
Mailing Address - Phone:864-718-0367
Mailing Address - Fax:
Practice Address - Street 1:112 FALCONS VIEW CT.
Practice Address - Street 2:
Practice Address - City:WALHALLA
Practice Address - State:SC
Practice Address - Zip Code:29691
Practice Address - Country:US
Practice Address - Phone:864-718-0367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1390283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital