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General NPI Number Information
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NPI Number | 1164134219
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Entity Type | Organization
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Legal Business Name | WILKINSON PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 1245 G ST
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City | REEDLEY
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State | CA
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Zip | 93654-3033
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Country | US
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Telephone | 559-859-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 G ST
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City | REEDLEY
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State | CA
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Zip | 93654-3033
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Country | US
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Telephone | 559-859-1023
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. KINNITH D WILKINSON
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Credential | PT
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Telephone | 559-859-1023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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