Individual
EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
22522 29TH DR SE STE L2-104, BOTHELL, WA 98021-4443
(425) 414-7466
Mailing address
7814 GREENWOOD AVE N APT 302, SEATTLE, WA 98103-4664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61472699
WA
225200000X
Physical Therapy Assistant
60346814
WA
Other
Enumeration date
10/12/2019
Last updated
09/05/2023
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