| NPI | 1679962989 |
|---|---|
| Other Name | CHRISTOPHER P WODZIEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.006692) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: IL 34950-25299956) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |