Individual
NANCY J WICKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1045 SW GAGE BLVD, TOPEKA, KS 66604-1780
(785) 273-7700
Mailing address
619 ALABAMA ST, LAWRENCE, KS 66044-2317
(785) 865-0104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00577
KS
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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