Individual
ANDREA WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10475 PERRY HWY STE 106G, WEXFORD, PA 15090-9213
(877) 407-3422
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028864
PA
Other
Enumeration date
08/26/2020
Last updated
05/19/2021
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