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Contact Information

JONATHAN J GALICKI, PTA
3505 LAKE LYNDA DIVE
SUITE 207
ORLANDO, FL32817
 Phone: 877-896-3660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JONATHAN J GALICKI · (Male)

NPI Number 1568675189
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 05/08/2007
Last updated 10/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PTA001235
  • IL License # 160-002759
  • NV License # A-0411
  • TX License # 2033181
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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