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Individual

MRS. REBEL FLYNN WILSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
5912 CYPRESS CREEK DR, N LITTLE ROCK, AR 72116-6355
(501) 771-2005
(501) 771-2005
Mailing address
710 FOXWOOD DR, JACKSONVILLE, AR 72076-2642
(501) 985-0118

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2506
AR

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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