Tiffany Lorraine Waniczek-Nowicki

NPI #1013491117 in Pasadena, California

Provider Information

NPI Number
1013491117
Entity Type
Individual
Name
Tiffany Lorraine Waniczek-Nowicki
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Enumeration Date
Sep 24, 2018
Last Updated
Sep 24, 2018

Practice Location

Address
200 E DEL MAR BLVD STE 302
ZIP Code
91105-2552
Phone
(626) 683-8536

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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