Individual
MARJORIE KAI WICKENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
414 MAIN ST, WAKEFIELD, MA 01880-3018
(781) 245-0055
(781) 245-8855
Mailing address
414 MAIN ST, WAKEFIELD, MA 01880-3018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26699
MA
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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