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Caleb M Wilcox, PTA

Physical Therapy Assistant in Wichita, KS. Individual provider (NPI-1).

NPI number1407375447
StatusActive
Last updated in NPPESSep 11, 2017

Details

NPI
1407375447
Entity type
Individual (NPI-1)
Name
Caleb M Wilcox
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2017
Last updated
Sep 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

2243 S Meridian Ave Ste 105
Wichita, KS 67213-1911

Phone 316-942-5448 · Fax 316-945-5694

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017

Phone 13162630003

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