| Organization Name: | CAROL M. WICK, PT OTRL, PLLC |
| NPI Number: | 1053481705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL M WICK (OWNER) |
| Mailing Address: | 2355 Griffin Ave Suite D Enumclaw |
| State: | WA US |
| Postal Code: | 980222434 |
| Phone Number: | 2537090371 |
| Fax Number: | 3608022345 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00000742 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |