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Individual
LAVANDER RONELL WILKERSON JR.
Active
Individual
LAVANDER RONELL WILKERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1359668
TX
225100000X
Physical Therapist
LPT-033428
AZ
225100000X
Physical Therapist
PT307345
CA
225100000X
Physical Therapist
Primary
PT35639
FL
Other
Enumeration date
03/25/2020
Last updated
01/06/2026
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