Individual
ELLEN MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
909 DUSS AVE, AMBRIDGE, PA 15003-2060
(724) 266-2833
Mailing address
909 DUSS AVE, AMBRIDGE, PA 15003-2060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004121
PA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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