Individual
MR. GREGORY SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2581 PURDUM MILL RD, APPOMATTOX, VA 24522-9688
(304) 483-7521
Mailing address
2581 PURDUM MILL RD, APPOMATTOX, VA 24522-9688
(304) 483-7521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601957
VA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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