Individual
LIANA WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 FM 1077, BANDERA, TX 78003-4765
(830) 796-4077
Mailing address
222 FM 1077, BANDERA, TX 78003-4765
(830) 796-4077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025112
TX
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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