Individual
ELYSE M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29D STONEHILL ROAD, OSWEGO, IL 60543
(630) 554-6156
(630) 554-6378
Mailing address
29D STONEHILL ROAD, OSWEGO, IL 60543
(630) 554-6156
(630) 554-6378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
056.009257
IL
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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