Individual
JONATHAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(724) 456-2251
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP031944T
NC
225100000X
Physical Therapist
Primary
PT33277
FL
Other
Enumeration date
08/19/2019
Last updated
08/20/2024
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