Amy Lee Wickham

NPI #1225654304 in Etna, Ohio

Provider Information

NPI Number: 1225654304
Entity Type: Individual
Name: Amy Lee Wickham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 24, 2020
Last Updated: Jun 24, 2020

Practice Location

Address: 14196 NATIONAL RD SW
City: Etna
State: Ohio
ZIP Code: 43068-3365
Phone: (740) 927-6782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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