Individual
ELIZABETH WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10820 PENNY RD, CARY, NC 27518-1916
(919) 617-9463
Mailing address
153 CAIRNS DR, FUQUAY VARINA, NC 27526-7661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17736
NC
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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