| NPI | 1740321637 |
|---|---|
| Former Name | TRACY L WILHELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070013704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10054) |
| 225100000X Physical Therapist (Licence: MS 5623) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2017-02-03 |