Individual
MRS. PATRICIA H. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., TVI/COMS, NBCT
Contact information
Practice address
2117 MOUND AVE, PANAMA CITY, FL 32405-1442
(850) 896-2536
Mailing address
2117 MOUND AVE, PANAMA CITY, FL 32405-1442
(850) 896-2536
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/17/2008
Last updated
05/17/2008
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