Individual
WILMA CRUZ BOCALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
VA GULF COAST VETERANS HEALTH CARE SYSTEM, 400 VETERANS AVENUE, BILOXI, MS 39531
(228) 523-5016
Mailing address
251 EISENHOWER DR, APT #134, BILOXI, MS 39531-3618
(228) 235-7089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22956
FL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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