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Individual
DR. TARO WICHMAN
Active
Individual
DR. TARO WICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MTC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1272156
TX
2251S0007X
Sports Physical Therapist
1272156
TX
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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