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Individual

CHRISTINE WILKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
479 NORTON AVE, BARBERTON, OH 44203-1737
(330) 753-1025
Mailing address
17955 GALEHOUSE RD, DOYLESTOWN, OH 44230-9375
(330) 958-1420

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA965
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA965
OHIO PTA LICENSE NUMBER
OH
Enumeration date
04/07/2014
Last updated
04/07/2014
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