Individual
ANGELA J WILTSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
446 GRANNY RD, MEDFORD, NY 11763-1647
(516) 984-2728
Mailing address
446 GRANNY RD, MEDFORD, NY 11763-1647
(516) 984-2728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011077
NY
Other
Enumeration date
12/17/2008
Last updated
03/17/2026
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