Individual
AMANDA LYNN WYGONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 MIDDLE COUNTRY RD, SELDEN, NY 11784-2568
(631) 696-4371
Mailing address
140 HIDDEN ACRES PATH, WADING RIVER, NY 11792-2213
(631) 681-7853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
054667
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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