Individual
DAWN WILMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101SOUTH 4TH STREET.TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
715 ENGLEWOOD ST, LANSING, KS 66043-1426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00227
KS
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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