Individual
MS. ANITA RAE WISNIEWSKI
Active
Individual
MS. ANITA RAE WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0201191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201191
PT
NY
Enumeration date
05/22/2007
Last updated
09/24/2009
Update your record
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