Individual
MRS. TERESA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 S NELLIS BLVD APT 1189, LAS VEGAS, NV 89121-7537
(559) 790-8842
Mailing address
3150 S NELLIS BLVD APT 1189, LAS VEGAS, NV 89121-7537
(559) 790-8842
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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