Individual
MRS. HILARY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1512 EVANOFF CT, LEXINGTON, KY 40515-5899
(573) 202-8808
Mailing address
1512 EVANOFF CT, LEXINGTON, KY 40515-5899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005433
KY
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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