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PATRICIA A WIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
716 NE ASHMONT PL, LEES SUMMIT, MO 64064-1661
(913) 484-7161
Mailing address
716 NE ASHMONT PLACE, LEE SUMMT, MO 64064-1661
(913) 484-7161

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01613
MO

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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