Individual
MRS. AMANDA MICHELLE WIZINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2205 COMMONWEALTH BLVD, ANN ARBOR, MI 48105-2970
(734) 763-2554
Mailing address
1309 FOUNTAIN ST, ANN ARBOR, MI 48103-2962
(513) 525-7490
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
070.017461
IL
2251P0200X
Pediatric Physical Therapist
Primary
5501302887
MI
Other
Enumeration date
03/18/2011
Last updated
09/18/2023
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