Individual
SHANNON WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
652 PINEY WOODS RD, SCOOBA, MS 39358-7451
(601) 917-2568
Mailing address
652 PINEY WOODS RD, SCOOBA, MS 39358-7451
(601) 917-2568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1225916
TX
Other
Enumeration date
08/05/2013
Last updated
09/16/2013
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