Individual
JOSEPH HANISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2009 HOLTON RD, MUSKEGON, MI 49445-1578
(231) 291-8020
Mailing address
3612 NORTHEDGE DR NE, ROCKFORD, MI 49341-7261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018339
MI
Other
Enumeration date
08/16/2017
Last updated
02/17/2023
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