Individual
MS. SHELLEY ELIZABETH WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3446 MCKELVEY RD, BRIDGETON, MO 63044-2525
(314) 298-0353
(314) 298-9741
Mailing address
3446 MCKELVEY RD, BRIDGETON, MO 63044-2525
(314) 298-0353
(314) 298-9741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011009938
MO
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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