Kevin Douglas Wicks PT

NPI 1154496412 - Physical Therapist - 225100000X

NPI Details
NPI 1154496412
Gender Male
Enumeration Date 11/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3568 CLARK RD
SARASOTA FL, 34231-8408, US
Phone (941) 924-8868
Fax (941) 924-6670
Business Location
1721 OLD SUMMERWOOD BLVD
SARASOTA FL, 34232-2940, US
Phone (941) 379-3343
Fax (941) 924-6670
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PT9887
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According to our database, Mr. Kevin Douglas Wicks PT NPI is 1154496412, taxonomy code is 225100000X and license number is PT9887, license state is located at Florida. Kevin Douglas Wicks PT physically located at 3568 Clark Rd, Sarasota FL, 34231-8408. NPI Number Kevin Douglas Wicks PT has the Individual type.

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1154496412 NPI number is provided on an as is basis without warranty of any kind. 1154496412 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Douglas Wicks PT are for informational purposes only.