Individual
MS. NATHALIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
207 W 4TH ST, BRIDGEPORT, PA 19405-1061
(610) 228-4641
Mailing address
142 SEBASTIAN LN, PLYMOUTH MEETING, PA 19462-2841
(610) 513-7137
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT010988L
PA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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