Organization
WILSON PHYSICAL THERAPY
Active
Organization
WILSON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY WILSON DPT (PRESIDENT)
(701) 526-3498
Entity
Organization
Contact information
Practice address
3101 BROADWAY N, SUITE C, FARGO, ND 58102-1485
(701) 526-3498
(701) 526-3818
Mailing address
3101 BROADWAY N, SUITE C, FARGO, ND 58102-1485
(701) 526-3498
(701) 526-3818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
938
ND
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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