Individual provider · Type 1 NPI

Grayson Wickham

Physical Therapist · New York, NY

NPI number 1003285693 Active

Practice location

667 Madison Ave
New York, NY 10065-8029

Mailing address

2102 81st St
East Elmhurst, NY 11370-1321

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X039473 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1003285693

Grayson Wickham's National Provider Identifier is 1003285693, issued on Sep 24, 2015. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in New York, NY. The record was last updated on Sep 24, 2015.