Doctor Name: | MR. DAVID ELVIN WICKHAM |
NPI Number: | 1023223880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 5994 |
Business Practice Address: | 353 Walnut St Three Rivers Therapy Services Coshocton, OH - 438121531 |
Business Phone Number: | 7402957080 |
Business Fax Number: | 7402957081 |
Mailing Address: | 16330 Tr 289, CONESVILLE |
State: | OH |
Postal Code: | 43811 |
Phone Number: | 7406234069 |
Fax Number: | 7406234064 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |