Individual
BARBARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1456 CHURCH ST, DECATUR, GA 30030-1526
(404) 999-3710
(404) 999-3712
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004964
GA
Other
Enumeration date
12/05/2022
Last updated
07/06/2023
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