Individual
NATALIE MICHAELA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 W NORWOOD PL, SAN GABRIEL, CA 91776-4041
(818) 419-8178
Mailing address
325 W NORWOOD PL, SAN GABRIEL, CA 91776-4041
(818) 419-8178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52513
CA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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