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Individual

JILL ANN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
6640 JOHNSON DR, MISSION, KS 66202-2617
(913) 384-5810
(913) 384-0719
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0014932
CO
225100000X
Physical Therapist
Primary
11-06268
KS

Other

Enumeration date
06/20/2017
Last updated
09/18/2019
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