| 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 |