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Individual

DARIAN WILKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
590 E 100 N STE 1, PRICE, UT 84501-2600
(435) 613-1500
(435) 613-1501
Mailing address
590 E 100 N STE 1, PRICE, UT 84501-2600
(435) 613-1500
(435) 613-1501

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9675982-2402
UT
225X00000X
Occupational Therapist
Primary
96759824201
UT

Other

Enumeration date
06/13/2016
Last updated
05/17/2022
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