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Individual

MS. ANITA RAE WISNIEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T., D.P.T.

Contact information

Practice address
69 W CEDAR ST, SUITE 3, POUGHKEEPSIE, NY 12601-1351
(845) 797-4797
Mailing address
69 W CEDAR ST, SUITE 3, POUGHKEEPSIE, NY 12601-1351
(845) 797-4797

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
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