Individual
MS. EMILY NICOLSON WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3105 INDEPENDENCE DR, SUITE 105, BIRMINGHAM, AL 35209-4111
(205) 278-6642
Mailing address
3105 INDEPENDENCE DR, SUITE 105, BIRMINGHAM, AL 35209-4111
(205) 278-6642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4107
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH4107
PHYSICAL THERAPY LICENSE
AL
Enumeration date
10/17/2006
Last updated
07/08/2007
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