Individual
MATTHEW D WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2243 S MERIDIAN AVE, STE 105, WICHITA, KS 67213-1949
(316) 942-5448
(316) 945-5694
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14-01222
KS
Other
Enumeration date
08/16/2010
Last updated
03/14/2016
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