Individual
MR. JAMES LYLE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
514 N 24TH ST, RICHMOND, VA 23223-7214
(804) 874-4437
Mailing address
514 N 24TH ST, RICHMOND, VA 23223-7214
(804) 874-4437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005889
VA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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