Organization
CAROL M. WICK, PT OTRL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL M WICK PT, OTRL (OWNER)
(253) 709-0371
Entity
Organization
Contact information
Practice address
2355 GRIFFIN AVE, SUITE D, ENUMCLAW, WA 98022-2434
(253) 709-0371
(360) 802-2345
Mailing address
38600 VEAZIE CUMBERLAND RD SE, ENUMCLAW, WA 98022-7708
(253) 709-0371
(360) 802-2345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000742
WA
Other
Enumeration date
11/09/2006
Last updated
11/06/2007
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