Individual
MARY M WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
711 W 38TH ST STE B3, AUSTIN, TX 78705-1125
(512) 450-0909
Mailing address
711 W 38TH ST STE B3, AUSTIN, TX 78705-1125
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1290916
TX
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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