Individual
CAROL M WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, OTR/L
Contact information
Practice address
2355 GRIFFIN AVE, SUITE D, ENUMCLAW, WA 98022-2440
(253) 709-0371
(360) 802-2345
Mailing address
38600 VEAZIE CUMBERLAND RD SE, ENUMCLAW, WA 98022-7708
(253) 709-0371
(360) 802-2345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000742
WA
225X00000X
Occupational Therapist
OT00000204
WA
Other
Enumeration date
11/02/2005
Last updated
04/24/2008
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