Individual
RAUMIE J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1415 MAPLE ST, EUDORA, KS 66025-9419
(615) 896-6400
Mailing address
705 STURBRIDGE CT, LAWRENCE, KS 66049-3671
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1401283
KS
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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