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1093268336
MICHAEL WIENEKE
GREENWOOD, SC
NPI
1093268336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3034)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- MICHAEL WIENEKE PTA
437 CAMBRIDGE AVE E
GREENWOOD, SC 29646-2244
Phone number: 864-223-1950
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Mailing Address
-- MICHAEL WIENEKE PTA
417 HENRIETTA AVE E
GREENWOOD, SC 29649-3141
Phone number:
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