Mr. Charles Wallace Wickliffe - Los Angeles, CA

Mr. Charles Wallace Wickliffe

Recreation Therapist in Los Angeles, California

NPI 1871663054

Charles Wallace Wickliffe is a Recreation Therapist based in Los Angeles, CA. Charles Wallace Wickliffe practices in Los Angeles, CA. The NPI Number for Charles Wallace Wickliffe is 1871663054 and holds a License No. (California).

The current practice location address for Charles Wallace Wickliffe is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-478-3711.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90043-1030

NPI Number

1871663054

Provider Name

Charles Wallace Wickliffe

Credential

Provider Entity Type

Individual

Gender

Male

Address

11301 Wilshire Blvd, Los Angeles, CA, 90043-1030

Phone Number

310-478-3711

Fax Number

Provider Enumeration Date

11/08/2006

Last Update Date

03/08/2024

Address

11301 Wilshire Blvd

City

Los Angeles

State

California

Zip

90073-1003

Phone Number

310-478-3711

Fax Number

Address

11301 Wilshire Blvd

City

Los Angeles

State

California

Zip

90073-1003

Phone Number

310-478-3711

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Recreation Therapist

Speciality

Taxonomy

225800000X

License No.

()

Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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