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Individual

ALYSSA WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1228 KIRKWOOD RD, HUMESTON, IA 50123-8041
(712) 520-0041
Mailing address
1228 KIRKWOOD RD, HUMESTON, IA 50123-8041
(712) 520-0041

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02895
IA

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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