Individual
ANDRIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11705 SAN JOSE BLVD STE 111, JACKSONVILLE, FL 32223-1653
(904) 345-7450
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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