Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1220 | WY |
NPI | 1043383409 |
---|---|
Provider Name | Mrs. Velva H Woollen Hilke |
First Address | Wilson, WY 83014-0729 |
Second Address | Charleston, SC 29412-2719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 26/08/2020 |