Individual
ASHLEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5656 S ONAGA PL, BOISE, ID 83716-6865
(806) 674-5736
Mailing address
5656 S ONAGA PL, BOISE, ID 83716-6865
(806) 674-5736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6573
ID
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
1191421
TX
Other
Enumeration date
01/31/2015
Last updated
12/26/2019
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