MR. CHARLES WICKLIFFE
Recreation Therapist
Active
Individual
NPI: 1871663054
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Recreation Therapist | 225800000X | Yes | - |
Frequently Asked Questions
NPI 1871663054 is the National Provider Identifier for MR. CHARLES WICKLIFFE, a Recreation Therapist provider located in Los Angeles, CA. This NPI was enumerated on November 8, 2006.
MR. CHARLES WICKLIFFE practices at 11301 WILSHIRE BLVD, 117R, Los Angeles, CA 90073.
Quick Facts
- NPI
- 1871663054
- Type
- Individual
- Enumerated
- Nov 8, 2006
- Last Updated
- Jul 8, 2007
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