Individual
KRISTOFER MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
325 N MAIN ST, SUITE 100, SPRINGBORO, OH 45066-8005
(937) 806-0318
(937) 806-0319
Mailing address
325 N MAIN ST, SUITE 100, SPRINGBORO, OH 45066-8005
(937) 806-0318
(937) 806-0319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014219
OH
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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