Individual
CHRISTINA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 432-6800
Mailing address
28 SECLUDED DR, WAKEFIELD, RI 02879-2800
(401) 440-3840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02490
RI
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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