Individual
VANESSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5931 BULLARD AVE, SUITE 6, NEW ORLEANS, LA 70128-2817
(504) 243-6777
Mailing address
521 TAYLOR ST, APT C, KENNER, LA 70062-7714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09469
LA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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