Individual
JANET WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
103 GOSSMAN RD, SOUTHERN PINES, NC 28387-2225
(191) 069-2793
Mailing address
118 TANGLEWOOD DR, SOUTHERN PINES, NC 28387-4350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4735
NC
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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