Individual
BARBARA JOAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
479 BETHMOUR RD, BETHANY, CT 06524-3370
(203) 393-1136
(203) 393-1136
Mailing address
479 BETHMOUR RD, BETHANY, CT 06524-3370
(203) 393-1136
(203) 393-1136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003784
CT
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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