DONALD WAYNE WICK

BEND, OR
NPI1730164690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  0334)
Additional Taxonomies225100000X Physical Therapist
(Licence: WA  PT00009718)
Enumeration Date2005-12-13
Last Update Date2012-11-13
Business Address
-- DONALD WAYNE WICK PT
2200 NE NEFF RD SUITE 202
BEND, OR 97701-4281
Phone number: 541-388-7738
Mailing Address
-- DONALD WAYNE WICK PT
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835