Individual
BRITTANIA THALIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 TEALWOOD DR APT 104, BRANDON, FL 33510-4975
(954) 822-9998
Mailing address
802 TEALWOOD DR APT 104, BRANDON, FL 33510-4975
(954) 822-9998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33023
FL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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