Healthcare Provider Details

I. General information

NPI: 1306870639
Provider Name (Legal Business Name): WILKERSON & GOLDEN PHYSICAL THERAPY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BURNHAM ST
TURNERS FALLS MA
01376-1841
US

IV. Provider business mailing address

7 BURNHAM ST
TURNERS FALLS MA
01376-1841
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-7988
  • Fax: 413-773-7322
Mailing address:
  • Phone: 413-774-7988
  • Fax: 413-773-7322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: EILEEN M GOLDEN
Title or Position: PRESIDENT
Credential: PT
Phone: 413-774-7988