Individual
MONTE SCOTT WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-9729
Mailing address
3344 N COPENHAGEN DR, AVONDALE, AZ 85323-3834
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT6281
WA
Other
Enumeration date
08/17/2005
Last updated
07/08/2007
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