Individual
ANISSA LORRAINE STANITZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 UNIVERSITY BLVD STE 200A, NORTH CHARLESTON, SC 29406-9115
(843) 414-1140
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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