Doctor Name: | MS. BETH LOWRY WICKER |
NPI Number: | 1396998696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT004570 |
Business Practice Address: | 2000 Dan Proctor Dr Suite 180 Saint Marys, GA - 315583810 |
Business Phone Number: | 9125766450 |
Business Fax Number: | |
Mailing Address: | 103 Hazel Ln, BRUNSWICK |
State: | GA |
Postal Code: | 315239386 |
Phone Number: | 9122671061 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2008 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT004570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |