Walter Jordan Wickham, DPT

NPI #1346843802 in Pocatello, Idaho

Provider Information

NPI Number
1346843802
Entity Type
Individual
Name
Walter Jordan Wickham, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
DPT
Enumeration Date
Nov 18, 2020
Last Updated
Nov 18, 2020

Practice Location

Address
1800 FLANDRO DR STE 190
State
Idaho
ZIP Code
83202-4940
Phone
(208) 233-2248

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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