Individual
AMANDA K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1375 S COLUMBIA RD - ALTRU PERFORMANCE CENTER, GRAND FORKS, ND 58201
(701) 780-5000
(701) 780-2238
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1813
ND
Other
Enumeration date
06/15/2007
Last updated
05/01/2019
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