Individual
MRS. JENNIFER ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
6281 TRI RIDGE BLVD, SUITE 100, LOVELAND, OH 45140-8345
(866) 791-5766
Mailing address
8215 MILLVIEW DR, CINCINNATI, OH 45249-2213
(513) 407-8227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6190
OH
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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