MICHAEL JEROME WENCLAWIAK

AUSTELL, GA
NPI1821360355
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT003445)
Enumeration Date2012-01-30
Last Update Date2012-01-30
Business Address
Mr. MICHAEL JEROME WENCLAWIAK PT
3999 AUSTELL RD. SUITE 701
AUSTELL, GA 30106
Phone number: 770-739-0090
Mailing Address
Mr. MICHAEL JEROME WENCLAWIAK PT
6067 GENTLEWIND CT
POWDER SPRINGS, GA 30127-6316
Phone number: 678-838-5194