Individual
SUZANNE R. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2333 ASHLEY RIVER RD, CHARLESTON, SC 29414-4789
(843) 766-9898
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2114
SC
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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