Wade Hicken, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Ogdensburg, NY

NPI

1871374405

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

012632 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2023-10-10

Last updated

2023-10-10