IndividualActive
Andrea Panichella, PTA
NPI 1568043974 · Physical Medicine & Rehabilitation Physician · Wyandotte, MI
Provider details
- NPI number
- 1568043974
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 5502003760 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 246-8962
Approximate (ZIP-level) locationGet directions
Mailing address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2021-04-16
- Certified
- 2021-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.