Individual
CHRISTINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 W COLORADO AVE, COLORADO SPRINGS, CO 80904-4029
(719) 422-9642
Mailing address
5315 AUBREY WAY, COLORADO SPRINGS, CO 80919-3500
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20151176551
CO
Other
Enumeration date
04/11/2015
Last updated
04/11/2015
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