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Individual
MR. JOSEPH MATTHEW WOZNEAK
Active
Individual
MR. JOSEPH MATTHEW WOZNEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005465L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA573459
ASSIGNMENT
PA
01
—
W0678838
BC
PA
Enumeration date
05/01/2007
Last updated
12/02/2015
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