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Ronald Keith Wilson, Physical Therapist

Physical Therapist in Vero Beach, FL. Individual provider (NPI-1).

NPI number1265658652
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1265658652
Entity type
Individual (NPI-1)
Name
Ronald Keith Wilson
Credential
Physical Therapist
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT2969FLYes

Practice location

1060 6th Ave
Vero Beach, FL 32960-5922

Phone 772-299-3383 · Fax 772-299-3367

Mailing address

1060 6th Ave
Vero Beach, FL 32960-5922

Phone 772-299-3383 · Fax 772-299-3367

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