Individual
MRS. LAURA HICKS WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DUKES CT, BROOKS, GA 30205-1643
(770) 716-0099
Mailing address
130 DUKES CT, BROOKS, GA 30205-1643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000812
GA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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