Carol M. Wick, Pt Otrl, Pllc

NPI #1053481705 in Enumclaw, Washington

Provider Information

NPI Number: 1053481705
Entity Type: Organization
Organization Name: Carol M. Wick, Pt Otrl, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Nov 9, 2006
Last Updated: Nov 6, 2007

Practice Location

Address: 2355 GRIFFIN AVE
Address 2: SUITE D
City: Enumclaw
State: Washington
ZIP Code: 98022-2434
Phone: (253) 709-0371

Authorized Official

Name: CAROL M WICK, PT, OTRL
Title: OWNER
Phone: (253) 709-0371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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