Individual
KORI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MORRIS RD, COATESVILLE, PA 19320-1732
(484) 947-9461
Mailing address
101 MORRIS RD, COATESVILLE, PA 19320-1732
(484) 947-9461
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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