NPI | 1578877627 |
---|---|
Former Name | SUMMER LEE WILKERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 15153) |
Additional Taxonomies | 225100000X Physical Therapist |
2251E1200X Physical Therapist, Ergonomics | |
2251G0304X Physical Therapist, Geriatrics | |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2010-07-31 |
Last Update Date | 2023-12-11 |