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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL JEROME WENCLAWIAK, PT

Active Sole Proprietor

MR. MICHAEL JEROME WENCLAWIAK, PT is a Physical Therapy Assistant healthcare provider located in AUSTELL, Georgia. NPI 1821360355 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · AUSTELL, GA

Registration Details

NPI Number
1821360355
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2012 (14.539442374474 yrs)
Last Updated
Jan 30, 2012
License
PT003445 (GA)
Sole Proprietor
Yes

Practice Information

Address
3999 AUSTELL RD.
SUITE 701
AUSTELL, GA, 30106
Browse GA providers · Browse ZIP 30106
Phone
7707390090
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in AUSTELL, GA

Name Credential NPI
ARGENTRIA M TWYMAN DPT 1669430195
JOHN DOUGLAS AKERS PT 1609880384
DENNIS A ROESCH PT 1134138258
ADEL A GHAFFARI 1619986650
CHRISTINA K DAVIA PT 1306959994
NEELY TOLBERT SULLIVAN PT 1033224910
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.