Individual
MR. DANNY RHEA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7513 INVERNESS DR, INDIANAPOLIS, IN 46237-9683
(317) 937-7358
Mailing address
7513 INVERNESS DR, INDIANAPOLIS, IN 46237-9683
(317) 937-7358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002118A
IN
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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