Individual
ALEXANDRA WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5810 EL CAMINO REAL STE C, CARLSBAD, CA 92008-8819
(760) 603-9166
Mailing address
666 TAMARACK AVE APT 1, CARLSBAD, CA 92008-4180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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