Individual
ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2911 GEORGE BUSBEE PKWY NW, #50, KENNESAW, GA 30144-6908
(844) 328-4624
Mailing address
5256 OLDE MILL DR NE, WOODSTOCK, GA 30188-4059
(770) 500-8079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003307
GA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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