Individual
MEGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
317 W. 1ST AVE, 103, ALBANY, OR 97321
(541) 812-5254
Mailing address
1209 NE CONROY PL, CORVALLIS, OR 97330-6804
(520) 270-8235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63634
OR
Other
Enumeration date
09/29/2010
Last updated
06/27/2024
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