Individual
BRIAN KEITH WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2822 EVA RD, FALKVILLE, AL 35622-8313
(256) 280-8442
Mailing address
2822 EVA RD, FALKVILLE, AL 35622-8313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5421
AL
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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