Individual
MEGAN N WICKERSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20911 W 153RD ST, OLATHE, KS 66061-6219
(913) 397-2900
Mailing address
4916 W 108TH TER APT 727, OVERLAND PARK, KS 66211-1263
(417) 496-4524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03823
KS
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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