Individual
COURTNEY SIWEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
540 W LAKE ST STE 3, TAWAS CITY, MI 48763-5101
(989) 984-6075
Mailing address
1311 BEECHWOOD DR # 1, EAST TAWAS, MI 48730-9345
(954) 249-1430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018767
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501018767
STATE LICENSE NUMBER
MI
Enumeration date
09/18/2018
Last updated
01/21/2021
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