Provider Demographics
NPI:1952092330
Name:WILKINSON, KAREL ANN (PT, CLWT-LANA)
Entity type:Individual
Prefix:MRS
First Name:KAREL
Middle Name:ANN
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:PT, CLWT-LANA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3677 COUNTY ROAD 166
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35967-8030
Mailing Address - Country:US
Mailing Address - Phone:703-615-6413
Mailing Address - Fax:
Practice Address - Street 1:124 MCCURDY AVE S STE B
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986-5206
Practice Address - Country:US
Practice Address - Phone:256-638-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH11042225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist