Individual
BRANDON NICHOLAS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1351 FOWLER ST, RICHLAND, WA 99352-4714
(509) 946-1654
Mailing address
3003 QUEENSGATE DR APT 329, RICHLAND, WA 99352-4237
(919) 376-6908
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT60761377
WA
Other
Enumeration date
03/09/2018
Last updated
06/16/2018
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