Provider Demographics
NPI:1255884300
Name:ORLEWICZ, MATEUSZ
Entity type:Individual
Prefix:
First Name:MATEUSZ
Middle Name:
Last Name:ORLEWICZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-7027
Mailing Address - Country:US
Mailing Address - Phone:702-382-4061
Mailing Address - Fax:702-382-4071
Practice Address - Street 1:601 S 10TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-7027
Practice Address - Country:US
Practice Address - Phone:702-382-4061
Practice Address - Fax:702-382-4071
Is Sole Proprietor?:No
Enumeration Date:2016-07-25
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner