Individual
MRS. MELISSA LOUISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2052 LEBANON RD, CRAWFORDSVILLE, IN 47933-2143
(765) 362-4151
(765) 362-4161
Mailing address
2052 LEBANON RD, CRAWFORDSVILLE, IN 47933-2143
(765) 362-4151
(765) 362-4161
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004260A
IN
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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