Individual
LAUREN KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9419 COPPERTOP LOOP NE, BAINBRIDGE ISLAND, WA 98110-3647
(206) 842-2428
(206) 842-2890
Mailing address
9419 COPPERTOP LOOP NE, BAINBRIDGE ISLAND, WA 98110-3647
(206) 842-2428
(206) 842-2890
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61212255
WA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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