Individual
BRIAN WILSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 INDIAN CREK BLVD., VERO BEACH, FL 32966
(772) 562-3534
Mailing address
6143 ARLINGTON WAY, FORT PIERCE, FL 34951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18789
FL
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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