Wilcoxson, Mitsue Alice

Wilcoxson, Mitsue Alice is an individual health care provider with primary practice located at 900 N University St B63 Mackey Arena, Purdue University, West Lafayette IN 47907-2070. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Wilcoxson, Mitsue Alice can be contacted via phone (765) 494-1703.

Contact Information

Primary practice address
900 N University St B63 Mackey Arena, Purdue University West Lafayette IN 47907-2070
Phone: (765) 494-1703
Fax: (765) 494-9899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Indiana

Profile Details

NPI number 1649215450
LBN Legal business name Wilcoxson, Mitsue Alice
Credentials ATC, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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