Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1235 | OH |
NPI | 1619172475 |
---|---|
Provider Name | Ms. Jacqueline Ann Wilkins |
First Address | Toledo, OH 43606-3328 |
Second Address | Toledo, OH 43606-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 08/07/2007 |