Wilkinson, Nicole Marie

Wilkinson, Nicole Marie is an individual health care provider with primary practice located at 4311 Norfolk Pkwy Ste 116 , West Melbourne FL 32904-8617. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wilkinson, Nicole Marie can be contacted via phone (321) 802-5816.

Contact Information

Primary practice address
4311 Norfolk Pkwy Ste 116 West Melbourne FL 32904-8617
Phone: (321) 802-5816
Fax: (321) 802-5811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT35179 Florida

Profile Details

NPI number 1386169605
LBN Legal business name Wilkinson, Nicole Marie
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2017
Last updated Feb 13th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386169605 NPPES
New Jersey Other 40QA01736300 LICENSE #
New Jersey Other 11269 LICENSE #

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