Individual
MR. WILLIAM BRUCE WIKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
6000 BELLONA AVE, BALTIMORE, MD 21212-2922
(410) 323-4277
Mailing address
2706 FALLSMONT DR, FALLSTON, MD 21047-2249
(410) 877-0486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1474
MD
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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