Provider Demographics
NPI:1316766298
Name:WOZNIAK, ALAYNA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 LAKE CLEARWATER PL APT 611
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-7737
Mailing Address - Country:US
Mailing Address - Phone:574-302-7278
Mailing Address - Fax:
Practice Address - Street 1:6885 W STONEGATE DR
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8023
Practice Address - Country:US
Practice Address - Phone:574-302-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05014184A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist