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Contact Information

WESLEY W WICKWAR, PT FAAOMPT
1800 PALACE DIRVE
SUITE C
GARDEN CITY, KS67846
 Phone: 620-271-0700
 Fax: 620-271-0703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for WESLEY W WICKWAR · (Male)

NPI Number 1861598088
Status Active
Credentials PT FAAOMPT
Entity Individual
Enumeration date 09/15/2006
Last updated 06/05/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 1103245
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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