Individual
DEBORAH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4951 CENTER ST, OMAHA, NE 68106-3251
(402) 915-3201
(402) 315-9994
Mailing address
12011 S 29TH ST, BELLEVUE, NE 68123-1402
(402) 915-3201
(402) 315-9994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1050
NE
225700000X
Massage Therapist
Primary
3343
NE
Other
Enumeration date
06/23/2014
Last updated
05/11/2018
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