Individual
MRS. AMY CAROLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
601 S UNION ST, DEWITT, AR 72042-2727
(870) 946-1606
(870) 946-2937
Mailing address
1310 S ROY ST, DEWITT, AR 72042-2992
(870) 946-3497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1463
AR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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