Martha Mary Wichert, P.T.
Physical Therapist in Davie, FL. Individual provider (NPI-1).
NPI number1821165366
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821165366
- Entity type
- Individual (NPI-1)
- Name
- Martha Mary Wichert
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 4424 | FL | Yes |
Practice location
3200 S University DrDavie, FL 33328-2018
Phone 954-262-4149
Mailing address
9150 Nw 17th StPlantation, FL 33322-4314
Phone 954-262-4149
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