Individual
MICHELLE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4114
Mailing address
133 KENSINGTON ST, MOORESVILLE, NC 28117-8042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1223
NC
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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