| NPI | 1265546295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY C WILKINSON Health & Wellness O PT Ical Insurance 479-204-8320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-09-09 |