Individual
DR. MARY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LMT
Contact information
Practice address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(757) 651-4072
Mailing address
2964 GINNALA DR, LOVELAND, CO 80538-2701
(757) 651-4072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305216830
VA
225100000X
Physical Therapist
Primary
CP044353T
CO
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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