Individual
MRS. LOURDES RAQUEL WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1448 HOUSTON ST, WILLS POINT, TX 75169-3120
(903) 873-2728
Mailing address
1448 HOUSTON ST, WILLS POINT, TX 75169-3120
(903) 873-5400
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1085033
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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