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Search › Kentucky › Developmental Therapist

Theresa Wicklund

NPI 1376905943 · on the registry since 2016 · sole proprietor

Practice

Address
4900 Houston Rd
Florence, KY 41042
Phone
(859) 655-1195
Fax
(859) 655-1194
Organisation at this address
St Elizabeth Medical Center, Inc
Independent Anesthesiologists, Psc
Tri-State Pain Management Service Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
106

Registry record

Primary taxonomy
Developmental Therapist
222Q00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky