Individual
MR. SAMUEL DARIOUS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
910 HIGHWAY 62 65 N, HARRISON, AR 72601-2148
(870) 704-4072
(870) 743-9881
Mailing address
1425 N MAIN ST, HARRISON, AR 72601-2214
(870) 741-4500
(870) 741-4507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2571
AR
Other
Enumeration date
04/09/2008
Last updated
04/11/2024
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