Individual
COLLEEN ANN WILKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1510 UNDERWOOD AVE, WAUWATOSA, WI 53213-2619
(262) 375-1075
(262) 375-4975
Mailing address
10590 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 375-1075
(262) 375-4975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6273-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40318200
—
WI
Enumeration date
06/06/2006
Last updated
04/04/2025
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