Individual
MARYANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2706 28TH ST, BOULDER, CO 80301-1222
(303) 444-1290
(303) 444-1837
Mailing address
2706 28TH ST, BOULDER, CO 80301-1222
(303) 444-1290
(303) 444-1837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18952
CO
225100000X
Physical Therapist
306577
CA
Other
Enumeration date
03/13/2023
Last updated
01/19/2026
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