Individual
CASSANDRA MICHELLE WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1580 HIGHWAY 287 N, MANSFIELD, TX 76063-7593
(682) 518-1018
Mailing address
1580 HIGHWAY 287 N, MANSFIELD, TX 76063-7593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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