Physical Therapist
ETIENNE MICKIEWICZ
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1356290167 · enumerated 2026-01-26 · record updated 2026-01-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 54 CHESWOLD BLVD APT 303, NEWARK, DE, 19713-4160 Google Maps Apple Maps OpenStreetMap
- Practice location 540 S COLLEGE AVE STE 160, NEWARK, DE, 19713-1302 (302) 831-3000 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License J1-0015139 DE
In this directory
Locations and evidence
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Practice location
NEWARK, DE, 197131302
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.