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David Shane Wickenden, PT
Orthopedic Physical Therapist in New York, New York
NPI 1245258805

David Shane Wickenden is a Orthopedic Physical Therapist based in New York, NY and is specialized in Orthopedic. David Shane Wickenden practices in New York, NY and has the professional credentials of PT. The NPI Number for David Shane Wickenden is 1245258805 and holds a License No. 014106 (New York).

The current practice location address for David Shane Wickenden is 22 E 41St St, New York, NY and can be reached out via phone at 212-686-1112 and via fax at 212-686-1717.

Location: 22 E 41St St, New York, NY, 10017-6201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245258805
Provider Name
David Shane Wickenden
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
22 E 41St St, New York, NY, 10017-6201
Phone Number
212-686-1112
Fax Number
212-686-1717
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
827482 01 NY OXFORD ID
ZA1122 01 NY HEALTHNET PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
22 E 41St St
City
New York
State
New York
Zip
10017-6201
Phone Number
212-686-1112
Fax Number
212-686-1717
person
Provider Business Mailing Address Details
Address
22 E 41St St
City
New York
State
New York
Zip
10017-6201
Phone Number
212-686-1112
Fax Number
212-686-1717
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
014106 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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