Individual
JENNIFER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3039 OKATIE HWY, BLUFFTON, SC 29909-5101
(843) 705-8220
Mailing address
8 FORDING ISLAND ROAD EXT, HILTON HEAD ISLAND, SC 29926-1154
(608) 295-7093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2825
SC
Other
Enumeration date
11/26/2017
Last updated
03/17/2018
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