Individual
AMY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3201 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Mailing address
PO BOX 838, HARLETON, TX 75651-0838
(903) 387-0451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1178368
TX
Other
Enumeration date
12/18/2007
Last updated
12/21/2016
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