National Provider Identifier
Bryan Wickes, PT
Bryan Wickes, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Olean, NY and a listed phone number of (716) 375-7484.
Profile Overview
- NPI
- 1679782130
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
Practice Location
- 515 Main St
- Olean, NY 14760-1513
Phone: (716) 375-7484
Mailing Address
- 433 Genesee St Apt 9
- Olean, NY 14760-1748
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1679782130
- Entity Type
- Individual
- Last Name
- Wickes
- First Name
- Bryan
- Credential
- PT
- Mailing Street Address
- 433 Genesee St Apt 9
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1748
- Mailing Country
- US
- Practice Street Address
- 515 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 375-7484
- Enumeration Date
- May 22, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)