Individual
JENNIFER DOWNEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(719) 305-1234
Mailing address
3935 CHERRY PLUM DR, COLORADO SPRINGS, CO 80920-2807
(501) 516-1162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0007396
CO
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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