Andrea B. Panichella PTA
Physical Medicine & Rehabilitation Physician in Wyandotte, MI(View on Map)
Full Name
Andrea Bree Panichella PTA
NPI Number
1568043974
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/16/2021
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5502003760
Contact
Information
Purpose
Mailing
Location
Address
2333 BIDDLE AVE
2333 BIDDLE AVE
City
Wyandotte
Wyandotte
State
MI
MI
Postal Code
48192-4668
48192-4668
Country
US
US
Telephone Number
(734) 246-6000
(734) 246-8962
Identifiers
Identifier
5502003760
Identifier State
MI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
SOAP
Endpoint
734-246-8962
Endpoint Description
Office number
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
2333 Biddle AveWyandotte, MI481924668US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/16/2021
Provider Address
Other Physical Medicine & Rehabilitation Physicians in Wyandotte, Michigan:
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Kendall Grose DO
Wyandotte, MISpecialties: Pain Medicine (Physical Medicine & Rehabilitation) Physician (Primary)Physical Medicine & Rehabilitation Physician