Individual
PHILIP MATTHEW WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RCEP, CCRP
Contact information
Practice address
1717 NORTH E STREET, TOWER 1, SUITE 1, PENSACOLA, FL 32501
(850) 908-2235
Mailing address
1717 N E ST STE 103, PENSACOLA, FL 32501-6337
(850) 908-2235
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1068726
—
Other
Enumeration date
12/06/2021
Last updated
03/11/2022
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