Wicker, Christopher M.

Wicker, Christopher M. is an individual health care provider with primary practice located at 2030 S Patrick Dr Ste 3, Indian Harbour Beach FL 32937-4400. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wicker, Christopher M. can be contacted via phone (321) 773-8155.

Contact Information

Primary practice address
2030 S Patrick Dr Ste 3 Indian Harbour Beach FL 32937-4400
Phone: (321) 773-8155
Fax: (321) 773-8154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT20840 Florida

Profile Details

NPI number 1255372082
LBN Legal business name Wicker, Christopher M.
Credentials PT, DPT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated May 31st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255372082 NPPES
Florida Other PT-20840 STATE OF FL. PT LICENSE NUMBER
Florida Other K-3234 STATE OF FL. PT LICENSE NUMBER

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