Individual
SHARA J WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-2967
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002426
MI
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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