Individual
KATHRYN ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1230 PLEASANT VALLEY DR, BALTIMORE, MD 21228-2649
(410) 747-7965
Mailing address
1230 PLEASANT VALLEY DR, BALTIMORE, MD 21228-2649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14607
MD
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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