Individual
MRS. TERESA MARIE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6312
(205) 921-6314
Mailing address
1256 MILITARY ST S, HAMILTON, AL 35570-5003
(205) 921-6312
(205) 921-6314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22427
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH3801
STATE LICENSE NUMBER
AL
Enumeration date
05/01/2007
Last updated
07/08/2007
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