Individual
TERRI L. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
29 CROSS YARD, GREENVILLE, SC 29607-4324
(864) 380-5620
Mailing address
29 CROSS YARD, GREENVILLE, SC 29607-4324
(864) 380-5620
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
279
SC
Other
Enumeration date
05/11/2012
Last updated
05/01/2013
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