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Individual
KATRINA JOANN WILKINS
Active
Individual
KATRINA JOANN WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
37164
CA
225100000X
Physical Therapist
Primary
61113
OR
2251X0800X
Orthopedic Physical Therapist
37164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734768
—
OR
01
—
W12026
GROUP PTAN
CA
Enumeration date
03/09/2011
Last updated
03/17/2018
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