Individual
CAROL LYNN WILKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
630 KENMOOR AVE SE, GRAND RAPIDS, MI 49546
(616) 975-6200
(617) 975-5540
Mailing address
823 ARDMORE ST SE, GRAND RAPIDS, MI 49507-2706
(616) 452-2839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501000885
MI
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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