Individual
TODD WILSON GEORGE
Active
Individual
TODD WILSON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 909
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141081721
—
AR
01
—
56477
ARKANSAS BCBS
AR
Enumeration date
11/09/2005
Last updated
05/15/2009
Update your record
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