Individual provider · Type 1 NPI
Wyatt Robert Wichman
Physical Therapy Clinic/Center · Glendale, CA
Practice location
100 W Broadway Ste 750
Glendale, CA 91210-1215
Fax (323) 419-5507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | 03316548 (CA) |
| Physical Therapy Clinic/Center Primary | 261QP2000X | 03316548 (CA) |
Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…
2 other providers at this address
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About NPI 1265072904
Wyatt Robert Wichman's National Provider Identifier is 1265072904, issued on Jan 10, 2020. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Glendale, CA. The record was last updated on Jan 14, 2020.