ERIC LYNN WICKARD

MEDFORD, OR
NPI1730432378
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  60230)
Enumeration Date2012-10-19
Last Update Date2020-06-24
Business Address
ERIC LYNN WICKARD DPT
965 ELLENDALE DR
MEDFORD, OR 97504-8215
Phone number: 541-734-3530
Mailing Address
ERIC LYNN WICKARD DPT
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-734-3530
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