MICHAEL WIENEKE

GREENWOOD, SC
NPI1093268336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  3034)
Enumeration Date2016-08-03
Last Update Date2016-08-03
Business Address
-- MICHAEL WIENEKE PTA
437 CAMBRIDGE AVE E
GREENWOOD, SC 29646-2244
Phone number: 864-223-1950
Mailing Address
-- MICHAEL WIENEKE PTA
417 HENRIETTA AVE E
GREENWOOD, SC 29649-3141
Phone number: