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Contact Information

MICHAEL J WENCLAWIAK, PT
3999 AUSTELL RD.
SUITE 701
AUSTELL, GA30106
 Phone: 770-739-0090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MICHAEL J WENCLAWIAK · (Male)

NPI Number 1821360355
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 01/30/2012
Last updated 01/30/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PT003445
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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