Individual
SAMUEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2955 PROFESSIONAL PL STE 200, COLORADO SPRINGS, CO 80904-8140
(719) 227-7079
Mailing address
2955 PROFESSIONAL PL STE 200, COLORADO SPRINGS, CO 80904-8140
(719) 227-7079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015471
CO
Other
Enumeration date
02/12/2024
Last updated
02/13/2024
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