Individual
CHELSEA RENEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2351 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4607
(575) 437-3351
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 439-1397
(575) 437-2622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1231
NM
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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