Individual
KATELYN NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
460 WILLIAM HILTON PKWY STE B, HILTON HEAD ISLAND, SC 29926-2498
(843) 277-0270
Mailing address
12 BRINDLEWOOD DR, BEAUFORT, SC 29907-2665
(717) 576-6388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4048
SC
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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