Individual
MARY L. WILKERSON BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
55 NESBIT DR, BONNE TERRE, MO 63628-1353
(573) 358-9553
(844) 815-1320
Mailing address
55 NESBIT DR, BONNE TERRE, MO 63628-1353
(573) 358-9553
(844) 815-1320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018002511
MO
225100000X
Physical Therapist
Primary
3708
OK
Other
Enumeration date
03/28/2007
Last updated
04/06/2026
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