Individual
PAIGE MONIQUE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
3014 W WILLIAM CANNON DRIVE, #1337, AUSTIN, TX 78745
(720) 999-4766
Mailing address
3014 W WILLIAM CANNON DRIVE, #1337, AUSTIN, TX 78745
(720) 999-4766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6745
TX
Other
Enumeration date
12/07/2015
Last updated
09/01/2016
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