ERIC ANDREW WICKLEM

DUNBAR, WV
NPI1801130364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  288)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
-- ERIC ANDREW WICKLEM LPTA
501 CALDWELL LN
DUNBAR, WV 25064-2026
Phone number: 304-744-7064
Mailing Address
-- ERIC ANDREW WICKLEM LPTA
501 CALDWELL LN
DUNBAR, WV 25064-2026
Phone number: 304-744-7064
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