Individual
HAVYN ALISSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
406 S 10TH AVE E, LAKE MILLS, IA 50450-1851
(641) 592-4900
Mailing address
746 S CENTRAL ST, FOREST CITY, IA 50436-2015
(660) 537-6653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
131080
IA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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