MEDICARE: JULIA ANN WILKINS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501013373	MI

General Provider Information

NPI Number	:	1144536442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANN WILKINS PT

Provider Business Mailing Address
First Line	:	33900 HARPER AVE
Second Line	:	SUITE 104
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:	586-416-9100
Fax Number	:	586-416-9103

Provider Business Practice Location Address
First Line	:	17388 W 13 MILE RD
Second Line	:
City	:	BEVERLY HILLS
State	:	MI
Zip	:	48025-5438
Country	:	US
Telephone Number	:	586-416-9100
Fax Number	:	586-416-9103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2010
Last Update Date	:	11/21/2012

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