NPI 1033243894

Elden Wick

Practitioner Rehabilitation Practitioner Phoenix, AZ

Practice location

Address: 2850 N 24th St, Phoenix, AZ 85008-1004
Phone: (602) 228-3381

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 33010 (AZ)

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Registry record

NPI: 1033243894
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.