Provider Demographics
NPI:1205962701
Name:WARCZINSKY, DENISE LYNN (PT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:LYNN
Last Name:WARCZINSKY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 E CHARLESTON RD
Mailing Address - Street 2:
Mailing Address - City:MINDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48456-9795
Mailing Address - Country:US
Mailing Address - Phone:989-864-3324
Mailing Address - Fax:
Practice Address - Street 1:1100 S VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-9615
Practice Address - Country:US
Practice Address - Phone:989-269-9521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist