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Individual

MICHAEL CAMERON WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
586 LONE TREE DR, MOUNT PLEASANT, SC 29464-8170
(843) 884-7880
(843) 884-6635
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
(517) 435-3670

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT012925
GA
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/14/2017
Last updated
01/31/2025
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