Maydie Mack Wilcox, MPT

NPI #1205091592 in Fort Mitchell, Kentucky

Provider Information

NPI Number: 1205091592
Entity Type: Individual
Name: Maydie Mack Wilcox, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jul 25, 2008
Last Updated: Jul 25, 2008

Practice Location

Address: 2148 TANTALLON DR
City: Fort Mitchell
State: Kentucky
ZIP Code: 41017-2066
Phone: (859) 512-8031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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