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Individual

KELLY LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
825 DAVIS ST, SUITE B, BLACKSBURG, VA 24060-7013
(540) 552-5100
(540) 552-5700
Mailing address
825 DAVIS ST, SUITE B, BLACKSBURG, VA 24060-7013
(540) 552-5100
(540) 552-5700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207728
VA

Other

Enumeration date
08/27/2012
Last updated
11/08/2012
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