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NPI Code Detail

MEDICARE: JAMIE WILKINS

MEDICARE:   JAMIE  WILKINS
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
1225X00000XOccupational Therapist114552TX

General Provider Information

NPI Number : 1619241544
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE WILKINS
Provider Business Mailing Address
First Line : 2853 CROCKETT ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-2970
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2853 CROCKETT ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107
Country : US
Telephone Number : 304-669-6958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 09/19/2012

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Directions to “ JAMIE WILKINS ” Practice Location

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