Individual
LINDA M WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-01 BROADWAY, FAIR LAWN, NJ 07410-6003
(833) 426-7222
Mailing address
851 FRANKLIN LAKE RD, FRANKLIN LAKES, NJ 07417-2242
(833) 426-7222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00212100
NJ
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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