Individual
CHRISTINA WICKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1214 ANDOVER CIR, AURORA, IL 60504-5995
(630) 335-4267
Mailing address
1214 ANDOVER CIR, AURORA, IL 60504-5995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.020271
IL
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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