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Nicholas Henry Wilhelm, DPT

Physical Therapist in Fort Defiance, AZ. Individual provider (NPI-1).

NPI number1669929964
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1669929964
Entity type
Individual (NPI-1)
Name
Mr. Nicholas Henry Wilhelm
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 2, 2016
Last updated
Nov 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT025278PAYes

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504-0589

Phone 570-617-1722

Mailing address

Po Box 589
Fort Defiance Indian Hospital Board, INC.
Fort Defiance, AZ 86504-0589

Phone 570-617-1722

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