Individual
CLAIRE M. WYCKLENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8949 N. DEERBROOK TR, HORIZON HOME CARE AND HOSPICE INC, BROWN DEER, WI 53223-9714
(414) 586-6280
Mailing address
4485 N WOODBURN ST, SHOREWOOD, WI 53211-1554
(414) 962-4757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1910-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40102500
—
WI
Enumeration date
04/24/2008
Last updated
04/24/2008
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