Individual
RUTH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 W MAIN ST, PARAGOULD, AR 72450-5947
(870) 240-4966
Mailing address
821 W MAIN ST, PARAGOULD, AR 72450-5947
(870) 240-4966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1487
AR
235Z00000X
Speech-Language Pathologist
SP2304
AR
Other
Enumeration date
02/20/2007
Last updated
09/11/2025
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