Individual
DR. MIKAYLA QUINN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
75-184 HUALALAI RD, KAILUA KONA, HI 96740-1719
(808) 329-0111
Mailing address
1887 WHITNEY MESA DR # 3898, HENDERSON, NV 89014-2069
(206) 947-4475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0016974
CO
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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