Individual
ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CROSSTOWN DR, PEACHTREE CITY, GA 30269-3454
(770) 769-2390
Mailing address
201 CROSSTOWN DR, PEACHTREE CITY, GA 30269-3454
(770) 769-2390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012296
GA
Other
Enumeration date
06/19/2016
Last updated
06/19/2016
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