Provider Demographics
NPI:1962479022
Name:SKOWRONEK, MICHAEL J (PT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:SKOWRONEK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1160 E BRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-9006
Mailing Address - Country:US
Mailing Address - Phone:480-892-7986
Mailing Address - Fax:480-892-7455
Practice Address - Street 1:1160 E BRUCE AVE
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-9006
Practice Address - Country:US
Practice Address - Phone:480-892-7986
Practice Address - Fax:480-892-7455
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic