Individual
MR. THOMAS MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED, CO
Contact information
Practice address
2375 FLORENCE AVE, CINCINNATI, OH 45206-2466
(513) 281-2800
(513) 281-0420
Mailing address
446 IVY RIDGE DR, COLD SPRING, KY 41076-8842
(859) 781-4525
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
LO 215
OH
Other
Enumeration date
07/14/2005
Last updated
04/09/2013
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