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Individual

ANJANA WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2550 E AMA ROAD, SUITE A1B, COVINA, CA 91792
(626) 337-6335
(626) 337-6365
Mailing address
1809 EAST DYER RD, SUITE 311, SANTA ANA, CA 92705
(949) 863-0022
(949) 863-0023

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT259B7
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WPT25987A
PPIN
Enumeration date
09/30/2006
Last updated
07/08/2007
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