Individual
DONNA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
813 S MAIN ST, BROWNSVILLE, KY 42210-9009
(270) 597-2335
Mailing address
PO BOX 714, MORGANTOWN, KY 42261-0714
(270) 999-1764
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00933
KY
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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