Individual
MR. JERALD MITCHELL WILES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1915 WEST PARK DRIVE, PHYSICAL THERAPY ASSOCIATES OF WILKES LLC STE 102, NORTH WILKESBORO, NC 28659
(336) 903-9293
(336) 903-9295
Mailing address
1915 WEST PARK DRIVE, PHYSICAL THERAPY ASSOCIATES OF WILKES LLC STE 102, NORTH WILKESBORO, NC 28659
(336) 903-9293
(336) 903-9295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2266
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7201007
—
NC
Enumeration date
07/31/2006
Last updated
07/08/2007
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