Individual
MR. LEROY WILSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
8001 WEDLOCK LN, LAS VEGAS, NV 89129-5472
(702) 372-0853
Mailing address
8001 WEDLOCK LN, LAS VEGAS, NV 89129-5472
(702) 372-0853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A 0221
NV
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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