Tamara Andrea Wilburn

NPI #1902296155 in Oswego, New York

Provider Information

NPI Number: 1902296155
Entity Type: Individual
Name: Tamara Andrea Wilburn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 27, 2015
Last Updated: Jan 27, 2015

Practice Location

Address: 159 W 1ST ST
City: Oswego
State: New York
ZIP Code: 13126-2045
Phone: (315) 342-9575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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