Individual
ALLISON BARAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6401
Mailing address
1946 W BRADLEY PL APT 1E, CHICAGO, IL 60613-3547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007741
IL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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