| NPI | 1154090165 |
|---|---|
| Former Name | EMILY WILKENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11780) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A7009) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-08-21 |