Provider Demographics
NPI:1710171509
Name:PAWLACZYK, SYLWIA M (PT)
Entity Type:Individual
Prefix:
First Name:SYLWIA
Middle Name:M
Last Name:PAWLACZYK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 NW 2ND LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3933
Mailing Address - Country:US
Mailing Address - Phone:561-703-0683
Mailing Address - Fax:
Practice Address - Street 1:4143 NW 2ND LN
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3933
Practice Address - Country:US
Practice Address - Phone:561-703-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist