Individual
ALLYSON WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6340
Mailing address
421 W EXCHANGE ST, FREEPORT, IL 61032-4008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006612
IL
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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