Individual
MR. DANIEL NATHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, CPED
Contact information
Practice address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 860-2854
Mailing address
300 ALPHA DR, PITTSBURGH, PA 15238-2908
(412) 860-2854
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OH000018
PA
224L00000X
Pedorthist
PD000002
PA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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