Individual
MR. WILSON SCOTT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 BUD NALLEY DR, EASLEY, SC 29642-3578
(864) 307-1981
Mailing address
310 KATIE LN, EASLEY, SC 29640-7814
(864) 884-6685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1450
SC
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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