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Individual

CRAIG JAMES WICAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(253) 835-8091
Mailing address
12201 OSPREY DR. NW, GIG HARBOR, WA 98332-2470
(206) 679-8880

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
07/19/2008
Last updated
03/10/2014
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