Carol M Wick, PT, OTR/L

NPI #1508857087 in Enumclaw, Washington

Provider Information

NPI Number: 1508857087
Entity Type: Individual
Name: Carol M Wick, PT, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, OTR/L
Enumeration Date: Nov 2, 2005
Last Updated: Apr 24, 2008

Practice Location

Address: 2355 GRIFFIN AVE
Address 2: SUITE D
City: Enumclaw
State: Washington
ZIP Code: 98022-2440
Phone: (253) 709-0371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Occupational Therapist	225X00000X

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