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1356833164
JOEL WYCKOFF
MILWAUKEE, WI
NPI
1356833164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2006-19)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
JOEL WYCKOFF PTA
9120 W CAPITOL DR
MILWAUKEE, WI 53222-1622
Phone number: 414-438-3177
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Mailing Address
JOEL WYCKOFF PTA
1300 S GREEN BAY RD STE 205
MOUNT PLEASANT, WI 53406-4469
Phone number: 262-898-3930
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