Individual
COURTNEY LORRAINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 N. SUMMIT ST, TOLEDO, OH 43604
(419) 671-0001
Mailing address
1609 N SUMMIT ST, TOLEDO, OH 43604-1806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011063
OH
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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