Individual
RILEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
415 4TH AVE NE, WATERTOWN, SD 57201-2614
(605) 886-8431
Mailing address
5184 WATERFRONT DRIVE, BROWNS VALLEY, MN 56219
(320) 808-7024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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