Individual
PEGGY MAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRAN CIRCLE BLDG 7503, FORT CARSON, CO 80913
(801) 558-2759
Mailing address
1650 COCHRAN CIRCLE BLDG 7503, FORT CARSON, CO 80913
(801) 558-2759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03175
KS
Other
Enumeration date
08/27/2024
Last updated
01/06/2025
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