Individual
CHARLES RICHARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
317 S ELM ST STE 116, OWOSSO, MI 48867-2649
(989) 723-9488
(989) 725-0134
Mailing address
317 S ELM ST STE 116, OWOSSO, MI 48867-2649
(989) 723-9488
(989) 725-0134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005746
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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