Most Relevant Information
Provider Data
| NPI Number: | 1003679051 |
| Provider Name: | GRADY WILKINSON |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31008196A |
Most Important Dates
| Enumeration Date: | 02/02/2024 |
| Last Updated: | 02/02/2024 |
Provider Practice Location
714 S EICKHOFF RD
EVANSVILLE
IN
477129006
Practice Location Phone/Fax
| Phone: | 8129859878 |
| Fax: |
Provider Mailing Location
8877 MADDEN RD
LYNNVILLE
IN
476198265
Provider Mailing Phone/Fax
| Phone: | 6182621267 |
| Fax: |