Corinne Wilson, DPT
Physical Therapist in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1124802103
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1124802103
- Entity type
- Individual (NPI-1)
- Name
- Corinne Wilson
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2023
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
545 Old Norcross Rd Ste 100Lawrenceville, GA 30046-3390
Phone 678-377-2833
Mailing address
2281 Rockwell DrBuford, GA 30519-6441
Phone 832-330-3889
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