Wickham, Renee Georgette

Wickham, Renee Georgette is an sole proprietor health care provider with primary practice located at 595 N Courtenay Pkwy #203, Merritt Island FL 32953-4851. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wickham, Renee Georgette can be contacted via phone (321) 453-8484.

Contact Information

Primary practice address
595 N Courtenay Pkwy #203 Merritt Island FL 32953-4851
Phone: (321) 453-8484
Fax: (321) 453-8448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT21160 Florida

Profile Details

NPI number 1609902477
LBN Legal business name Wickham, Renee Georgette
Credentials MSPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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