Individual
MICHELLE ERICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8945 W COLONIAL DR, OCOEE, FL 34761-6918
(407) 822-7506
(407) 822-7507
Mailing address
8945 W COLONIAL DR, OCOEE, FL 34761-6918
(407) 822-7506
(407) 822-7507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21268
FL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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