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Deanna C Wilken, P.T.A.

Physical Therapy Assistant in Festus, MO. Individual provider (NPI-1).

NPI number1760634901
StatusActive
Last updated in NPPESOct 21, 2008

Details

NPI
1760634901
Entity type
Individual (NPI-1)
Name
Deanna C Wilken
Credential
P.T.A.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 21, 2008
Last updated
Oct 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant116407MOYes

Practice location

1330 Ymca Dr
Suite 1200
Festus, MO 63028-2661

Phone 636-931-7600 · Fax 636-931-8808

Mailing address

1330 Ymca Dr
Suite 1200
Festus, MO 63028-2661

Phone 636-931-7600 · Fax 636-931-8808

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All 5 Physical Therapy Assistant providers in Festus · All 928 providers in Festus

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