Individual
MARY LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
204 E FEDERAL ST., SUITE C, MIDDLEBURG, VA 20117
(540) 687-6565
(540) 687-6585
Mailing address
PO BOX 893, MIDDLEBURG, VA 20118-0893
(540) 687-6565
(540) 687-6585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004796
VA
Other
Enumeration date
11/21/2006
Last updated
10/14/2010
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