Individual
KURTISE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1220 W GRETNA RD, GRETNA, VA 24557-4087
(434) 656-1274
Mailing address
1220 W GRETNA RD, GRETNA, VA 24557-4087
(434) 656-1274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208901
VA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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