Individual
ABIGAIL MARIE WICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10216 TAYLORSVILLE RD, LOUISVILLE, KY 40299-3616
(502) 267-1799
Mailing address
2415 TREGARON AVE, LOUISVILLE, KY 40299-2673
(502) 855-2006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008826
KY
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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