Individual
HOLLY S WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
902 ILLINI DRIVE, SILVIS, IL 61282
(309) 796-3450
(309) 796-3460
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02070
IA
225100000X
Physical Therapist
Primary
070-008027
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02070
IOWA PT LICENSE NUMBER
IA
01
—
070-008027
ILLINOIS PT LICENSE NUMBE
IL
Enumeration date
06/02/2006
Last updated
04/12/2012
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