Individual
LAURA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
176 W UNIVERSITY PKWY STE E, JACKSON, TN 38305-1618
(731) 300-4950
(731) 300-4951
Mailing address
176 W UNIVERSITY PKWY STE E, JACKSON, TN 38305-1618
(731) 300-4950
(731) 300-4951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12850
TN
Other
Enumeration date
11/04/2021
Last updated
02/25/2022
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