Individual
JODIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
32 RAILROAD STREET, BETHEL, ME 04217-1367
(207) 824-2193
Mailing address
PO BOX 569, RANGELEY, ME 04970-0569
(207) 864-3303
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT540
ME
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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