MRS. Janine Diane Wiciak
NPI #1477797405 in Elwyn, Pennsylvania
Provider Information
- NPI Number
- 1477797405
- Entity Type
- Individual
- Name
- MRS. Janine Diane Wiciak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Apr 21, 2009
- Last Updated
- Apr 21, 2009
Practice Location
- Address
- 111 ELWYN RD
- Address 2
- KIVITZ BLDG - PHYS REHAB
- City
- Elwyn
- State
- Pennsylvania
- ZIP Code
- 19063-4622
- Phone
- (610) 891-2214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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