Doctor Name: | LORI K WUESTNICK |
NPI Number: | 1104970342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 5501006206 |
Business Practice Address: | 3375 N Linden Rd Apt #151 Flint, MI - 485045719 |
Business Phone Number: | 8102301030 |
Business Fax Number: | 8102301038 |
Mailing Address: | 15115 Heritage Ln, LINDEN |
State: | MI |
Postal Code: | 484519029 |
Phone Number: | 8107501096 |
Fax Number: | 8107501096 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501006206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |