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Individual

LORINA ALINE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
800 10TH ST, SNOHOMISH, WA 98290-2131
(360) 568-3161
Mailing address
5418 101ST PL NE, MARYSVILLE, WA 98270-2000
(206) 940-3136

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160499249
WA

Other

Enumeration date
02/25/2020
Last updated
02/25/2020
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