Most Relevant Information
Provider Data
| NPI Number: | 1003277708 |
| Provider Name: | ANNA WICKS |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | OT006405 |
Most Important Dates
| Enumeration Date: | 03/09/2016 |
| Last Updated: | 03/09/2016 |
Provider Practice Location
545 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE
GA
30046
Practice Location Phone/Fax
| Phone: | 6783772833 |
| Fax: |
Provider Mailing Location
545 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE
GA
30046
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |