Individual
MS. KRYSTAL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253
Mailing address
1307 S BROADWAY ST., TOLEDO, IA 52342
(319) 558-7178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
083026
IA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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