Individual
LIBBY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 JEFFERSON ST, PELLA, IA 50219-1255
(641) 628-6623
(641) 628-4836
Mailing address
404 JEFFERSON ST, PELLA, IA 50219-1257
(641) 621-2347
(641) 628-7248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119970
IA
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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