Individual
SUZANNA WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
860 LYNN ST, LEBANON, MO 65536-3810
(417) 334-8337
(417) 532-2067
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 851-1551
(417) 832-8275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018023366
MO
Other
Enumeration date
04/26/2022
Last updated
10/10/2023
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