Individual
DANA M WIKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 308-5117
Mailing address
PO BOX 720610, BYRAM, MS 39272-0610
(601) 308-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3966
MS
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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