Provider Demographics
NPI:1811089147
Name:SZYMANSKI, STEPHEN E (PT)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:E
Last Name:SZYMANSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 RED HAWK RUN
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-2201
Mailing Address - Country:US
Mailing Address - Phone:419-308-3996
Mailing Address - Fax:419-866-7489
Practice Address - Street 1:1560 HENTHORNE DR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1371
Practice Address - Country:US
Practice Address - Phone:419-866-5196
Practice Address - Fax:419-866-5663
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist