Individual
MARILYN P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6847
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3248
CA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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