Individual
MR. CLAYTON R WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., R.S.C.C.
Contact information
Practice address
2220 VESTAL RD, VESTAL, NY 13850-1940
(210) 380-2671
Mailing address
PO BOX 551, ENDICOTT, NY 13761-0551
(210) 380-2671
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
12/17/2011
Last updated
12/17/2011
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