Individual
MR. DAVID ELVIN WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
353 WALNUT ST, THREE RIVERS THERAPY SERVICES, COSHOCTON, OH 43812-1531
(740) 295-7080
(740) 295-7081
Mailing address
16330 TR 289, CONESVILLE, OH 43811
(740) 623-4069
(740) 623-4064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5994
OH
Other
Enumeration date
05/14/2007
Last updated
03/17/2010
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