Individual
ALICIA WYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100
Mailing address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23201
FL
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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