Individual
MR. TIMOTHY GREY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7540 NORTH 19TH AVENUE, #200, PHOENIX, AR 85021
(888) 873-4221
(888) 543-2289
Mailing address
7540 NORTH 19TH AVENUE, #200, PHOENIX, AR 85021
(888) 873-4221
(888) 543-2289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1782
NC
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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