Individual
EWA MARTHA WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05016288A
IN
225100000X
Physical Therapist
Primary
070.029477
IL
225100000X
Physical Therapist
139358
IA
225100000X
Physical Therapist
PTL21269
CO
Other
Enumeration date
09/23/2025
Last updated
06/24/2026
Update your record
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