Individual
ANELISE WINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-014104
IL
225100000X
Physical Therapist
Primary
1170613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741660214
TAX ID #
TX
Enumeration date
05/23/2006
Last updated
05/30/2024
Update your record
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