Search › Arizona › 225X00000X
Jesse Wilcock, OTR/L
NPI 1528487840 · on the registry since 2014
Practice
- Address
- 218 W White Mountain Blvd
Suite A & B
Lakeside, AZ 85929 - Phone
- (928) 367-5779
- Fax
- (928) 367-5778
- Organisation at this address
- Oluwagbenga Serrano
Ed D Lauritsen Phd Pc
Peace Family Medicine Pc
Mustang Chiropractic, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XP0200X
225XP0019X
225XM0800X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona