Individual
MR. JASON L WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
726 W AIRE LIBRE AVE, C/O KIDS INSTRUCTION FOR DEVELOPMENTAL SERVICES, PHOENIX, AZ 85023-7910
(602) 938-9839
(602) 938-9839
Mailing address
726 W AIRE LIBRE AVE, C/O KIDS INSTRUCTION FOR DEVELOPMENTAL SERVICES, PHOENIX, AZ 85023-7910
(602) 938-9839
(602) 938-9839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7977A
AZ
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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