Individual
BRIAN JOHN WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
321 MITCHELL AVE, BATESVILLE, IN 47006-8909
(812) 934-6638
Mailing address
813 S PARK AVE, BATESVILLE, IN 47006-8951
(812) 614-1624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003055A
IN
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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