Individual
AUNDRAYA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
217 BRADSHAW DR, SANFORD, FL 32771-4170
(407) 927-4814
Mailing address
217 BRADSHAW DR, SANFORD, FL 32771-4170
(407) 927-4814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31297
FL
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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