Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WYATT ROBERT WICHMAN
Active Sole ProprietorMR. WYATT ROBERT WICHMAN is a Physical Therapy Clinic healthcare provider located in GLENDALE, California. NPI 1265072904 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · GLENDALE, CA
Registration Details
- NPI Number
- 1265072904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2020 (6.4465094947058 yrs)
- Last Updated
- Jan 14, 2020
- Licenses
-
03316548 (CA)03316548 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 W BROADWAY STE 750GLENDALE, CA, 912101215Browse CA providers · Browse ZIP 91210
- Phone
- 3234194103
- Fax
- 3234195507
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
- Additional Specialty
- Physical Therapy Clinic
Other Physical Therapy Clinic Providers in GLENDALE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC JOHN KAMAKEA | M.P.T. | 1669504684 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.