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Contact Information

KEILYN WILKERSON, PTA
395 VILLAGE DRIVE
KISSIMMEE, FL34759
 Phone: 407-914-9168
 Fax: 407-337-8005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for KEILYN WILKERSON · (Female)

NPI # 1811613367
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 10/17/2022
Last updated 10/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA32379
  • FL Medicaid 112243500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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