Individual
MARY COEN WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
300 BARR ST, CANONSBURG, PA 15317-1558
(724) 746-5040
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009373
PA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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