Individual
HOLLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-2000
Mailing address
1138 W NORTHVIEW AVE, PHOENIX, AZ 85021-8067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5068
AZ
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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