Laura L Wicker

NPI #1336464817 in Greenwood, Mississippi

Provider Information

NPI Number: 1336464817
Entity Type: Individual
Name: Laura L Wicker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 29, 2010
Last Updated: Mar 29, 2010

Practice Location

Address: 902 SGT JOHN A PITTMAN DR
City: Greenwood
State: Mississippi
ZIP Code: 38930-7343
Phone: (662) 453-9173

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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