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Individual

MRS. MICHELLE M WICKLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8382 KETTLE DRUM ST, COLORADO SPRINGS, CO 80922-6304
(719) 572-6857
Mailing address
8382 KETTLE DRUM ST, COLORADO SPRINGS, CO 80922-6304
(719) 572-6857

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
04/29/2011
Last updated
04/29/2011
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