Individual
MATTHEW J WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
612 SALT ST, SALTSBURG, PA 15681-1128
(724) 639-8300
(724) 639-3112
Mailing address
3295 N HILLS RD, MURRYSVILLE, PA 15668-1319
(724) 422-6649
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003042
PA
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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