Individual
BRITTANY L VICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3101 S PACKERLAND DR, GREEN BAY, WI 54956
(920) 592-3845
(920) 592-3061
Mailing address
PO BOX 866308, PLANO, TX 75086-6308
(972) 596-2500
(267) 321-2044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12059-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336496108
—
WI
Enumeration date
08/10/2012
Last updated
12/20/2016
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