Individual
DAVID WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.,C.W.S
Contact information
Practice address
211 N JEFFERSON ST, GALAX, VA 24333-2846
(276) 236-8974
Mailing address
198 FALCON DR, WOODLAWN, VA 24381-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005631
VA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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