NPI 1013216829

Tammy Marie Czarnecki, PTA

Practitioner Physical Therapy Assistant Kenosha, WI

Practice location

Address: 10400 75th Street, Kenosha, WI 53142
Phone: (262) 948-7045
Fax: (262) 948-7331
Mailing address: 10400 75th St, Kenosha, WI 53142-7884

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1539-019 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1013216829
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2011
Record last updated: 18 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.