Individual
DR. JON ERIC WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DSC,OCS, SCS
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-0567
Mailing address
5373 WILLOW VIEW RD, ABILENE, TX 79606-5387
(325) 691-6951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305006535
VA
2251S0007X
Sports Physical Therapist
2305006535
VA
2251X0800X
Orthopedic Physical Therapist
Primary
2305006535
VA
Other
Enumeration date
02/07/2006
Last updated
03/14/2018
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