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Individual

ASHLEY RENAE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6350 W 143RD ST STE 202, SAVAGE, MN 55378-2890
(952) 428-1550
Mailing address
6350 W 143RD ST STE 202, SAVAGE, MN 55378-2890
(952) 428-1554

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12472
MN

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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