Individual
ELDEN WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 228-3381
Mailing address
2850 N 24TH ST, PHOENIX, AZ 85008-1004
(602) 228-3381
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
33010
AZ
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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