Individual
DR. DANIEL GLENN WICKLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 UNION AVE STE 195, MEMPHIS, TN 38104-6603
(901) 759-3280
Mailing address
1211 UNION AVE STE 195, MEMPHIS, TN 38104-6603
(901) 759-3280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000011788
TN
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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