Individual provider · Type 1 NPI

Lauren Elizabeth Takeko Wisniowski, CRNP

Pediatric Rehabilitation Medicine Physician · Philadelphia, PA

NPI number 1689387979 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-3480 Map

Mailing address

3601 Market St Unit 2412
Philadelphia, PA 19104-5921

Specialties and licenses

TaxonomyCodeLicense
Pediatric Rehabilitation Medicine Physician Primary 2081P0010XSP026698 (PA)

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

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About NPI 1689387979

Lauren Elizabeth Takeko Wisniowski, CRNP's National Provider Identifier is 1689387979, issued on Jan 2, 2023. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 2, 2025.