| NPI | 1114909249 |
|---|---|
| Former Name | BEVERLY WILKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH1122) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL PTH1122) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2024-06-20 |