Individual
HALLIE COLEMAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14057 HWY 17 N, STE. 230, HAMPSTEAD, NC 28443
(910) 821-3377
(910) 821-3380
Mailing address
8201 ATLEE RD STE D, MECHANICSVILLE, VA 23116-1815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207397
VA
225100000X
Physical Therapist
Primary
P12821
NC
Other
Enumeration date
10/02/2012
Last updated
08/12/2019
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