Doctor Name: | ERIC LYNN WICKARD |
NPI Number: | 1730432378 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT60294532 |
Business Practice Address: | 8011 112th Street Ct E Puyallup, WA - 983737814 |
Business Phone Number: | 2538480662 |
Business Fax Number: | 2538488567 |
Mailing Address: | 8011 112th Street Ct E, PUYALLUP |
State: | WA |
Postal Code: | 983737814 |
Phone Number: | 2538480662 |
Fax Number: | 2538488567 |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT60294532 |
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 |