Individual
CLARA WICHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, B.S.
Contact information
Practice address
251 LANDIS AVE, SUITE 201, CHULA VISTA, CA 91910-2628
(619) 498-8450
(619) 498-8453
Mailing address
4239 CLEVELAND AVE UNIT 5, SAN DIEGO, CA 92103-2466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5522
CA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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