Individual
MRS. WANDA GRAZYNA WALASEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 GEDDES RD, YPSILANTI, MI 48198-9404
(734) 547-7632
Mailing address
4988 SYCAMORE DR, YPSILANTI, MI 48197-6107
(734) 557-3259
(734) 557-3259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
005295-1
NY
225200000X
Physical Therapy Assistant
160.002393
IL
225200000X
Physical Therapy Assistant
Primary
L1667975
MI
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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