Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Janine Diane Wiciak

Individual provider Physical Therapy Assistant · NPI 1477797405

Mrs. Janine Diane Wiciak is a Physical Therapy Assistant in Elwyn, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009

Practice location Address checks out

111 Elwyn Rd Kivitz Bldg - Phys Rehab
Elwyn, PA 19063-4622
Phone: (610) 891-2214
Fax: (610) 891-2280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE005319L (PA)

Record details

NPI number1477797405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2009
Last updated in NPPESApril 21, 2009