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1508483108
JENNA WICKMAN
CHESAPEAKE, VA
NPI
1508483108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305213611)
Enumeration Date
2020-06-30
Last Update Date
2020-08-13
Business Address
JENNA WICKMAN PT, DPT
3253 TAYLOR RD STE 200
CHESAPEAKE, VA 23321-2452
Phone number: 757-881-1137
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Mailing Address
JENNA WICKMAN PT, DPT
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 631-580-5200
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