Individual
ANGELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16000 SOUTHFIELD RD, ALLEN PARK, MI 48101-2563
(313) 359-8867
(313) 359-8868
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004551
MI
Other
Enumeration date
07/30/2021
Last updated
02/16/2024
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