Individual
DR. RICHARD JOSEPH WICKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CPE, CDMS
Contact information
Practice address
7665 MONARCH CT, SUITE 109, WEST CHESTER, OH 45069-2497
(513) 821-7420
(513) 672-2552
Mailing address
7665 MONARCH CT, SUITE 109, WEST CHESTER, OH 45069-2497
(513) 821-7420
(513) 672-2552
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
001690
KY
2251E1200X
Ergonomics Physical Therapist
05009555A
IN
2251E1200X
Ergonomics Physical Therapist
Primary
3582
OH
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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