Jerry D. Wilkerson P.T.

NPI 1376616979 - Physical Therapist - 225100000X

NPI Details
NPI 1376616979
Gender Male
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1909 SOUTHWOOD DR
LAKE CHARLES LA, 70605-4132, US
Phone (337) 477-9292
Fax (337) 477-9268
Business Location
1909 SOUTHWOOD DR
LAKE CHARLES LA, 70605-4132, US
Phone (337) 477-9292
Fax (337) 477-9268
Toxanomy
Taxonomy Code 225100000X
License State Louisiana
License Number 06349
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According to our database, Mr. Jerry D. Wilkerson P.T. NPI is 1376616979, taxonomy code is 225100000X and license number is 06349, license state is located at Louisiana. Jerry D. Wilkerson P.T. physically located at 1909 Southwood Dr, Lake Charles LA, 70605-4132. NPI Number Jerry D. Wilkerson P.T. has the Individual type.

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1376616979 NPI number is provided on an as is basis without warranty of any kind. 1376616979 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry D. Wilkerson P.T. are for informational purposes only.