Individual
RYLEIGH ELAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4240 ALTAMONT PL STE 101, WHITE PLAINS, MD 20695-3092
(301) 893-2345
Mailing address
23520 FDR BLVD UNIT 105, CALIFORNIA, MD 20619
(443) 975-4353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5683
MD
Other
Enumeration date
08/10/2022
Last updated
09/03/2024
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