Individual
MR. JAY DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3101 BROADWAY N, SUITE C, FARGO, ND 58102-1485
(701) 271-1000
(701) 526-3818
Mailing address
827 32ND AVE N, #108, FARGO, ND 58102-1087
(701) 271-1000
(701) 526-3818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
938
ND
Other
Enumeration date
11/07/2006
Last updated
08/07/2007
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