Grayson Wickham
Grayson Wickham is a Physical Therapist in New York, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
667 Madison AveNew York, NY 10065-8029 Not confirmed with CMS for 11 years — call before visiting
Phone: (877) 474-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 039473 (NY) |
|---|
Record details
| NPI number | 1003285693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2015 |
| Last updated in NPPES | September 24, 2015 |
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