Individual
STEPHANIE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
258 BROAD ST, MILFORD, CT 06460-3226
(203) 882-5632
(203) 882-7200
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003842
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003842CT05
ANTHEM BCBS
CT
Enumeration date
01/02/2007
Last updated
03/13/2019
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