TIFFANY LORRAINE WANICZEK-NOWICKI

PASADENA, CA
NPI1013491117
Former NameTIFFANY LORRAINE WANICZEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  295589)
Enumeration Date2018-09-24
Last Update Date2018-09-24
Business Address
TIFFANY LORRAINE WANICZEK-NOWICKI
200 E DEL MAR BLVD STE 302
PASADENA, CA 91105-2552
Phone number: 626-683-8536
Mailing Address
TIFFANY LORRAINE WANICZEK-NOWICKI
200 E DEL MAR BLVD STE 302
PASADENA, CA 91105-2552
Phone number: