Individual
DIONNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2332
(317) 706-7246
(317) 706-7419
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2332
(317) 706-7246
(317) 706-7419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007601A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05007601A
LICENSE
IN
05
—
200831850
—
IN
Enumeration date
05/20/2006
Last updated
11/18/2025
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