Individual
NATALIE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3691 WILLOWCREEK RD, PORTAGE, IN 46368-5076
(219) 759-4380
Mailing address
106 GLENDALE BLVD, VALPARAISO, IN 46383-3032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007071A
IN
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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