NPI 1053717124

Benjamin Wicki, DPT

Practitioner Physical Therapist Newtown, CT

Practice location

Address: 30 Church Hill Rd, Newtown, CT 06470-1658
Phone: (203) 426-8449
Fax: (203) 426-8980

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10204 (CT)

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Registry record

NPI: 1053717124
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2014
Record last updated: 17 Nov 2014

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.