Individual
MR. ERICK J WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1611 BROADWAY ST, BELLINGHAM, WA 98225
(360) 671-3365
(360) 671-3366
Mailing address
1611 BROADWAY ST, BELLINGHAM, WA 98225
(360) 671-3365
(360) 671-3366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003518
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067248
L AND I
WA
05
—
7301039
—
WA
Enumeration date
05/03/2006
Last updated
07/08/2007
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