Individual
JULIANNE MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23065 SW MAIN ST, SHERWOOD, OR 97140-6208
(503) 925-1802
Mailing address
PO BOX 306, SHERWOOD, OR 97140-0306
(503) 925-1802
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
03448
OR
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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