PATRICIA WICKHOLM

LAFAYETTE, IN
NPI1528479292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007329A)
Enumeration Date2014-05-15
Last Update Date2014-05-15
Business Address
Mrs. PATRICIA WICKHOLM
1501 HARTFORD ST
LAFAYETTE, IN 47904-2134
Phone number: 765-423-6099
Mailing Address
Mrs. PATRICIA WICKHOLM
1501 HARTFORD ST
LAFAYETTE, IN 47904-2134
Phone number: 765-423-6099
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