Individual
STEVEN MICHAEL WESOLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1412 BRANDY LN, ORANGE, TX 77632-1677
(409) 893-0538
Mailing address
1412 BRANDY LN, ORANGE, TX 77632-1677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2033405
TX
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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