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NPI Code Detail

MEDICARE: MARJORIE B WILKINS LPT

MEDICARE: MARJORIE B WILKINS LPT
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
1225100000XPhysical Therapist070-008162IL
22251X0800XOrthopedic Physical Therapist27385CA

General Provider Information

NPI Number : 1699781062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE B WILKINS LPT
Provider Business Mailing Address
First Line : 102 MILE OF CARS WAY
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-6603
Country : US
Telephone Number : 619-477-7112
Fax Number :
Provider Business Practice Location Address
First Line : 102 MILE OF CARS WAY
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-6603
Country : US
Telephone Number : 619-477-7112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 09/29/2015

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Directions to “ MARJORIE B WILKINS LPT” Practice Location

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