Individual
SHERRY WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3205 CHARLES DR, VIENNA, WV 26105-1575
(540) 471-0883
Mailing address
3205 CHARLES DR, VIENNA, WV 26105-1575
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000760
WV
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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