Individual
CHRISTINE GOODRICH WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 EMPIRE STATE BLVD, CASTLETON, NY 12033-9751
(518) 477-8771
Mailing address
2292 COUNTY ROUTE 9, EAST CHATHAM, NY 12060-3709
(518) 392-5333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003327-1
NY
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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