Individual
JOEL WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9120 W CAPITOL DR, MILWAUKEE, WI 53222-1622
(414) 438-3177
(414) 438-3176
Mailing address
1300 S GREEN BAY RD STE 205, MOUNT PLEASANT, WI 53406-4469
(262) 898-3930
(414) 438-3176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006-19
WI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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