Individual
LISA LOUETTE WILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7570
Mailing address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12429-24
WI
Other
Enumeration date
08/12/2013
Last updated
10/24/2018
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