Individual
VELINA YVONNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12400 HIGH BLUFF DR, SAN DIEGO, CA 92130-3077
(866) 871-8519
Mailing address
14750 230TH ST, SPRINGFIELD GARDENS, NY 11413-4424
(803) 840-0917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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