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Organization
WILKES REHAB LLC
Active
Organization
WILKES REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER WALLACE WILKES MSOT (REGISTERED OCCUPATIONAL THERAPIST)
(478) 668-3428
Entity
Organization
Contact information
Practice address
1350 BAY SPRINGS CHURCH RD, ADRIAN, GA 31002-4247
(478) 668-3428
(478) 668-3428
Mailing address
1350 BAY SPRINGS CHURCH RD, ADRIAN, GA 31002-4247
(478) 668-3428
(478) 668-3428
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT004805
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508005901
INDIVIDUAL NPI
GA
Enumeration date
03/14/2009
Last updated
03/14/2009
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