Individual
MS. MARY M WICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., P.T., A.T.C
Contact information
Practice address
9154 ESTATE THOMAS, M.M. ELECTRIC BUILDING, LOWER LEVEL, ST THOMAS, VI 00802-2687
(340) 776-7667
(340) 714-1891
Mailing address
PO BOX 8649, ST THOMAS, VI 00801-1649
(340) 776-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35
VI
225100000X
Physical Therapist
PT-0008750
FL
225100000X
Physical Therapist
PT-002872
PA
Other
Enumeration date
05/25/2006
Last updated
07/09/2007
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