MITSUE ALICE WILCOXSON

WEST LAFAYETTE, IN
NPI1649215450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2006-06-17
Last Update Date2007-07-08
Business Address
MRS. MITSUE ALICE WILCOXSON ATC, PT
900 N UNIVERSITY ST B63 MACKEY ARENA, PURDUE UNIVERSITY
WEST LAFAYETTE, IN 47907-2070
Phone number: 765-494-1703
Mailing Address
MRS. MITSUE ALICE WILCOXSON ATC, PT
1709 SUMMIT DR
WEST LAFAYETTE, IN 47906-2229
Phone number: 765-497-0849