Individual
MS. EILEEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3200 W SLAUGHTER LN, AUSTIN, TX 78748-5706
(512) 281-0141
Mailing address
8903 TERESINA DR, AUSTIN, TX 78749-4957
(512) 698-4722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012290
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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