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Individual

MS. ALLISON KATE WILES

Active
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Individual

MS. ALLISON KATE WILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A03927
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285689794
TENNOVA HEATH CARE
TN
Enumeration date
02/21/2019
Last updated
02/21/2019
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