Individual
ALISON A WIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6560 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459-2685
(937) 470-7612
Mailing address
10116 PARK EDGE DR, DAYTON, OH 45458-9574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281943
ANTHEM
OH
05
—
0108341
—
OH
Enumeration date
09/04/2007
Last updated
09/08/2020
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