Individual
VICTORIA WICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L, BCP, CIMI
Contact information
Practice address
3241 E SHEA BLVD STE 1-503, PHOENIX, AZ 85028-3335
(480) 910-0372
Mailing address
3241 E SHEA BLVD STE 1-503, PHOENIX, AZ 85028-3335
(480) 910-0372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6033
AZ
Other
Enumeration date
12/29/2014
Last updated
12/05/2023
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