Individual
CATHERINE J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
238 S CONGRESS ST, RUSHVILLE, IL 62681-1465
(217) 322-4321
Mailing address
238 S CONGRESS ST, RUSHVILLE, IL 62681-1465
(217) 322-4321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008149
STATE LICENSE NUMBER
IL
Enumeration date
07/12/2012
Last updated
07/12/2012
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