Individual
MISS NATALIE ELISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1577 E CHEVY CHASE DR STE 210, GLENDALE, CA 91206-4741
(818) 495-4610
(818) 484-2812
Mailing address
1577 E CHEVY CHASE DR STE 210, GLENDALE, CA 91206-4741
(818) 495-4610
(818) 484-2812
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO04121
CA
224P00000X
Prosthetist
Primary
CPO04121
CA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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