KEVIN DOUGLAS WICKS

SARASOTA, FL
NPI1154496412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  pt9887)
Enumeration Date2006-11-22
Last Update Date2007-07-08
Business Address
Mr. KEVIN DOUGLAS WICKS pt
3568 CLARK RD
SARASOTA, FL 34231-8408
Phone number: 941-924-8868
Mailing Address
Mr. KEVIN DOUGLAS WICKS pt
1721 OLD SUMMERWOOD BLVD
SARASOTA, FL 34232-2940
Phone number: 941-379-3343
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