Melissa Fruge Wilson, PTA
Physical Therapy Assistant in Prairieville, LA. Individual provider (NPI-1).
NPI number1437385812
StatusActive
Last updated in NPPESMay 30, 2009
Details
- NPI
- 1437385812
- Entity type
- Individual (NPI-1)
- Name
- Melissa Fruge Wilson
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2009
- Last updated
- May 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A7395 | LA | Yes |
Practice location
15091 Beau Jon AvePrairieville, LA 70769-4315
Phone 225-673-8079
Mailing address
15091 Beau Jon AvePrairieville, LA 70769-4315
Phone 225-673-8079
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Prairieville, LA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.