Individual
D'ANNE LYNNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 MEMORIAL DR, LULING, TX 78648-3213
(830) 875-8454
Mailing address
200 MEMORIAL DR, LULING, TX 78648-3213
(830) 875-8454
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025120
TX
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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