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CHRISTOPHER RESHAUD WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(877) 853-1601
Mailing address
320 HAYTER DR, MORRISTOWN, TN 37813-2625
(423) 258-1416

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4777
TN

Other

Enumeration date
08/09/2010
Last updated
08/09/2010
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