Individual
MRS. JEAN K WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 SW 162ND ST, MIAMI, FL 33157-3318
(305) 253-3391
(305) 251-7490
Mailing address
9720 SW 162ND ST, MIAMI, FL 33157-3318
(305) 253-3391
(305) 251-7490
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
003426
FL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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