Individual
DONNETTA LYNN WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1705 CHRISTY DR, SUITE 200, JEFFERSON CITY, MO 65101-5195
(573) 659-5515
(573) 659-5516
Mailing address
1705 CHRISTY DR, SUITE 200, JEFFERSON CITY, MO 65101-5195
(573) 659-5515
(573) 659-5516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009016646
MO
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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