Jordan Wickman, PT
NPI #1578116869 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1578116869
- Entity Type
- Individual
- Name
- Jordan Wickman, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jul 17, 2019
- Last Updated
- Jul 17, 2019
Practice Location
- Address
- 1185 CORPORATE CENTER DR STE 250
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4888
- Phone
- (262) 928-8853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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