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Individual
JENNIFER MICHELLE WILSON
Active
Individual
JENNIFER MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3831
NV
225100000X
Physical Therapist
43048
CA
225100000X
Physical Therapist
60539796
WA
225100000X
Physical Therapist
Primary
65267
OR
Other
Enumeration date
10/20/2015
Last updated
06/09/2026
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