MR. Charles Wallace Wickliffe

  • NPI 1871663054
According to our database, the NPI number for MR. Charles Wallace Wickliffe is 1871663054 and activated since 17 years ago. MR. Charles Wallace Wickliffe is an individual provider who specializes in Recreation Therapist, and the primary practice location is 11301 Wilshire Blvd, Los Angeles, CA 90073. You can also contact MR. Charles Wallace Wickliffe via telephone number is (310) 478-3711. Provider NPI information was last updated on 07/08/2007.

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Overview of MR. Charles Wallace Wickliffe

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/08/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225800000X
  • Specialty: Recreation Therapist
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 5274 Parkglen Ave
    Los Angeles, CA 90043
  • Phone: 323-299-9755
  • Fax:

Provider Practice Location

  • Address: 11301 Wilshire Blvd
    117r
    Los Angeles, CA 90073
  • Phone: 310-478-3711
  • Fax:

Scope of Practice

  • Taxonomy Code: 225800000X
  • Specialty: Recreation Therapist
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Charles Wallace Wickliffe?
  • A: The npi number for MR. Charles Wallace Wickliffe is 1871663054.
  • Q: What are MR. Charles Wallace Wickliffe's specialties?
  • A: MR. Charles Wallace Wickliffe's specialties are Recreation Therapist and different specialities.
  • Q: What is the medical license for MR. Charles Wallace Wickliffe?
  • A: The medical license number for MR. Charles Wallace Wickliffe is unknow and issued in unknow in USA.
  • Q: Where is MR. Charles Wallace Wickliffe practice location?
  • A: MR. Charles Wallace Wickliffe is practicing at 11301 Wilshire Blvd, Los Angeles, CA 90073.
  • Q: How to contact MR. Charles Wallace Wickliffe?
  • A: You can contact MR. Charles Wallace Wickliffe via 310-478-3711.
Medicare Specialty
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