Individual
KRISTIE WICKLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7300 MCEWEN RD, DAYTON, OH 45459-3903
(937) 433-3441
Mailing address
7300 MCEWEN RD, DAYTON, OH 45459-3903
(937) 433-3441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010499
OH
Other
Enumeration date
07/24/2008
Last updated
01/04/2024
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