Individual
DEANNA C WILKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1330 YMCA DR, SUITE 1200, FESTUS, MO 63028-2661
(636) 931-7600
(636) 931-8808
Mailing address
1330 YMCA DR, SUITE 1200, FESTUS, MO 63028-2661
(636) 931-7600
(636) 931-8808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116407
MO
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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