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Mr. Wyatt Robert Wichman
Physical Therapy Clinic/Center in Glendale, California
NPI 1265072904

Wyatt Robert Wichman is a Physical Therapy Clinic/Center based in Glendale, CA and is specialized in Physical Therapy. Wyatt Robert Wichman practices in Glendale, CA. The NPI Number for Wyatt Robert Wichman is 1265072904 and holds a License No. 03316548 (California).

The current practice location address for Wyatt Robert Wichman is 100 W Broadway Ste 750, Glendale, CA and can be reached out via phone at 323-419-4103 and via fax at 323-419-5507.

Location: 100 W Broadway Ste 750, Glendale, CA, 91210-1215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265072904
Provider Name
Wyatt Robert Wichman
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 W Broadway Ste 750, Glendale, CA, 91210-1215
Phone Number
323-419-4103
Fax Number
323-419-5507
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03316548 01 CA PHYSICAL THERAPY AGENCY
institution
Provider Business Practice Location Address Details
Address
100 W Broadway Ste 750
City
Glendale
State
California
Zip
91210-1215
Phone Number
323-419-4103
Fax Number
323-419-5507
person
Provider Business Mailing Address Details
Address
100 W Broadway Ste 750
City
Glendale
State
California
Zip
91210-1215
Phone Number
323-419-4103
Fax Number
323-419-5507
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Physical Therapy
Taxonomy
261QP2000X
License No.
03316548 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
261QX0100X
License No.
03316548 (California)
Definition
Definition to come...
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