Individual
BENJAMIN WESOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1508 S CHURCH ST, WATERTOWN, WI 53094-6404
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14169
WI
Other
Enumeration date
12/28/2020
Last updated
03/27/2023
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