Provider Demographics
NPI:1427173590
Name:KOWALCZYK, FRANCES M (LMT)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:M
Last Name:KOWALCZYK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:FRAN
Other - Middle Name:
Other - Last Name:KOWALCZYK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:210 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3845
Mailing Address - Country:US
Mailing Address - Phone:941-833-5717
Mailing Address - Fax:941-833-5715
Practice Address - Street 1:210 WOOD ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3845
Practice Address - Country:US
Practice Address - Phone:941-833-5717
Practice Address - Fax:941-833-5715
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL33466225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC2085OtherBLUE CROSS BLUE SHIELD