Individual
ABIGAIL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
Mailing address
216 ARMILOUS RD, RUSSELL SPRINGS, KY 42642-9829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009143
KY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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