Individual
MRS. TRICIA M WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1130 17TH AVE S, GREAT FALLS, MT 59405-4523
(406) 771-4500
Mailing address
800 7TH AVE S, GREAT FALLS, MT 59405-2119
(708) 269-1209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4451
MT
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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