Individual
MR. NICHOLAS HENRY WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0589
(570) 617-1722
Mailing address
PO BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504-0589
(570) 617-1722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025278
PA
Other
Enumeration date
09/02/2016
Last updated
11/03/2016
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