Individual
JAMIE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2853 CROCKETT ST, FORT WORTH, TX 76107
(304) 669-6958
Mailing address
2853 CROCKETT ST, FORT WORTH, TX 76107-2970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114552
TX
Other
Enumeration date
02/23/2012
Last updated
09/19/2012
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