Individual
WENDY K WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12431 S KEENEY RD, SPOKANE, WA 99224-9644
(509) 990-0209
Mailing address
12431 S KEENEY RD, SPOKANE, WA 99224-9644
(509) 990-0209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160043872
WA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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