Individual
MARYBETH L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 MT HIGHWAY 91 S, DILLON, MT 59725-7379
(406) 683-3000
Mailing address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-8771
(573) 449-6563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011014903
MO
Other
Enumeration date
06/16/2011
Last updated
05/06/2021
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