DR. Jade Wilcoxson, DPT

NPI #1861946949 in Talent, Oregon

Provider Information

NPI Number: 1861946949
Entity Type: Individual
Name: DR. Jade Wilcoxson, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 7, 2016
Last Updated: Aug 7, 2016

Practice Location

Address: 213 N 2ND ST
City: Talent
State: Oregon
ZIP Code: 97540-9753
Phone: (541) 326-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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