Individual
ALEXIS WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 W BEARDSLEY RD, APT 2004, GLENDALE, AZ 85308-5014
(623) 815-4156
Mailing address
4545 W BEARDSLEY RD, APT 2004, GLENDALE, AZ 85308-5014
(623) 815-4156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006549
VA
225X00000X
Occupational Therapist
5433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5433
LICENSE
AZ
Enumeration date
06/18/2014
Last updated
07/11/2023
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