Provider Demographics
NPI:1821366519
Name:KRAWCZYK, BARBARA (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:KRAWCZYK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:HODGSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11895 QUAKER RD
Mailing Address - Street 2:
Mailing Address - City:LAWTONS
Mailing Address - State:NY
Mailing Address - Zip Code:14091-9743
Mailing Address - Country:US
Mailing Address - Phone:716-337-0018
Mailing Address - Fax:
Practice Address - Street 1:10674 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:GOWANDA
Practice Address - State:NY
Practice Address - Zip Code:14070-1344
Practice Address - Country:US
Practice Address - Phone:716-532-3325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010946-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics