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1245258805
DAVID SHANE WICKENDEN
NEW YORK, NY
NPI
1245258805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NY 014106)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- DAVID SHANE WICKENDEN P.T.
22 E 41ST ST 3RD FLOOR
NEW YORK, NY 10017-6201
Phone number: 212-686-1112
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Mailing Address
-- DAVID SHANE WICKENDEN P.T.
22 E 41ST ST 3RD FLOOR
NEW YORK, NY 10017-6201
Phone number: 212-686-1112
Copy
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