Individual
CAITLIN CLARE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1219 W ROOSEVELT RD, MAYWOOD, IL 60153-4046
(708) 531-7950
Mailing address
2160 S. FIRST AVENUE, MAYWOOD, IL 60153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018372
IL
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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