Individual
ASHLEY LAUREN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PROBASCO ST, CINCINNATI, OH 45220-2710
(513) 221-2258
Mailing address
9062 SYMMES VIEW CT, LOVELAND, OH 45140-9362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08221
OH
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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