Individual
AMEE WILSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6002 LAUSANNE ST, BAKERSFIELD, CA 93308-6589
(661) 703-6050
Mailing address
6002 LAUSANNE ST, BAKERSFIELD, CA 93308-6589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4162
TN
Other
Enumeration date
10/16/2012
Last updated
11/26/2012
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