Individual
CAROL JOAN WILSON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-7313
(718) 245-7195
Mailing address
2114 GLENWOOD RD, BROOKLYN, NY 11210-1050
(347) 672-9728
(718) 245-7195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010321
NY
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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