Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT 26236 | CA |
NPI | 1013156983 |
---|---|
Provider Name | Margaret Wojtkiewicz |
First Address | Redondo Beach, CA 90278-4413 |
Second Address | Torrance, CA 90504-4515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2009 |
Last Update Date | 16/02/2009 |