Individual
GRADY WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 S EICKHOFF RD, EVANSVILLE, IN 47712-9006
(812) 985-9878
Mailing address
8877 MADDEN RD, LYNNVILLE, IN 47619-8265
(618) 262-1267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008196A
IN
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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