Individual
ELIZABETH A. LOCKE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
27472 SCHOENHERR RD STE 130, WARREN, MI 48088-6675
(586) 439-6243
(586) 439-6240
Mailing address
27472 SCHOENHERR RD STE 130, WARREN, MI 48088-6675
(586) 439-6243
(586) 439-6240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016398
MI
Other
Enumeration date
08/06/2013
Last updated
06/16/2018
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