Provider Demographics
NPI:1467661231
Name:KRAWCHUK, TODD A (MSPT)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:A
Last Name:KRAWCHUK
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 NEVARC RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3641
Mailing Address - Country:US
Mailing Address - Phone:215-328-9799
Mailing Address - Fax:
Practice Address - Street 1:1454 NEVARC RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3641
Practice Address - Country:US
Practice Address - Phone:215-328-9799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012755L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist