Individual
ANDRIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 N OAK AVE, PITMAN, NJ 08071-1025
(856) 286-1431
Mailing address
535 N OAK AVE, PITMAN, NJ 08071-1025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00280700
NJ
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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