Doctor Name: | JENNIFER L WILKINS |
NPI Number: | 1134220007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1375 |
Business Practice Address: | 52 W Shirley Ave Warrenton, VA - 201863008 |
Business Phone Number: | 5403479220 |
Business Fax Number: | 5403470492 |
Mailing Address: | 52 W Shirley Ave, WARRENTON |
State: | VA |
Postal Code: | 201863008 |
Phone Number: | 5403479220 |
Fax Number: | 5403470492 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251E1200X |
License Number: | 1375 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Ergonomics |
Taxonomy Definition: |