Individual
JACKIE WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 CASCADE AVE, WEST DES MOINES, IA 50266-8592
(515) 978-2982
Mailing address
4006 145TH ST, URBANDALE, IA 50323-2636
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
001986
IA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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