Individual
DR. LARA SIMONE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-0000
Mailing address
1013 LINDEN AVE, UNIT J, CHARLOTTESVILLE, VA 22902-9020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.014945
IL
225100000X
Physical Therapist
Primary
2305203579
VA
225100000X
Physical Therapist
PT00010144
WA
225100000X
Physical Therapist
PT008527
GA
Other
Enumeration date
05/21/2007
Last updated
02/28/2011
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