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Individual

CLAIRE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4800 TABOR ST, WHEAT RIDGE, CO 80033-2112
(303) 421-4161
Mailing address
1333 W 116TH AVE APT 304, WESTMINSTER, CO 80234-3522
(812) 604-8400

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014752
CO
225200000X
Physical Therapy Assistant
CO

Other

Enumeration date
03/14/2021
Last updated
03/18/2021
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