NPI | 1184097503 |
---|---|
Former Name | EMILY G WILCOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13098) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN PTA0000005690) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2023-04-10 |