Individual
WENDY MICHELLE EICKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2919 17TH AVE, LONGMONT, CO 80503-1650
(303) 702-0410
Mailing address
300 42ND ST SW, LOVELAND, CO 80537-7520
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0006631
CO
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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