Individual
CONNOR WISNIEWSKI-TOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11682R
LA
225100000X
Physical Therapist
P23108
NC
225100000X
Physical Therapist
PT38752
FL
Other
Enumeration date
08/09/2022
Last updated
11/14/2024
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