Individual
CHANDRA C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3319 DR JOHN HAYNES DR STE 4, PELL CITY, AL 35125-1583
(205) 338-8440
Mailing address
1013 BARON LN, CHELSEA, AL 35043-6628
(205) 678-4849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3513
AL
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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