Individual
DANIEL WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
325 ROLLING OAKS DR STE 210, THOUSAND OAKS, CA 91361-1088
(805) 573-4008
(805) 446-3140
Mailing address
68 DICKENSON AVE, NEWBURY PARK, CA 91320-4321
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
225200000X
Physical Therapy Assistant
Primary
AT4188
CA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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