Individual
MRS. JANINE DIANE WICIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 ELWYN RD, KIVITZ BLDG - PHYS REHAB, ELWYN, PA 19063-4622
(610) 891-2214
(610) 891-2280
Mailing address
111 ELWYN ROAD, KIVITZ BLDG - PHYS REHAB, ELWYN, PA 19063-4622
(610) 891-2214
(610) 891-2280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005319L
PA
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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