Organization
WILSON ORTHOPEDIC AND SPORTS PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS D WILSON PT (PT/OWNER)
(419) 300-8400
Entity
Organization
Contact information
Practice address
476 FORTMAN DR, SAINT MARYS, OH 45885-1870
(419) 300-8400
(419) 300-8401
Mailing address
476 FORTMAN DR, SAINT MARYS, OH 45885-1870
(419) 300-8400
(419) 300-8401
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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