Individual
ZACHARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 MAIN ST STE D, WINOOSKI, VT 05404-1380
(802) 864-3785
Mailing address
321 MAIN ST STE D, WINOOSKI, VT 05404-1380
(802) 864-3785
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041-0120199
VT
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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