Individual
HANNAH MOORE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 CHANNEL RD STE 102, LAKE WYLIE, SC 29710-6101
(803) 746-7800
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11521
SC
2251P0200X
Pediatric Physical Therapist
—
—
Other
Enumeration date
08/18/2022
Last updated
08/22/2023
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