Jean K Wilson
Physical Therapist, Pediatrics in Miami, FL. Individual provider (NPI-1).
NPI number1720161094
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161094
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jean K Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 003426 | FL | Yes |
Practice location
9720 Sw 162nd StMiami, FL 33157-3318
Phone 305-253-3391 · Fax 305-251-7490
Mailing address
9720 Sw 162nd StMiami, FL 33157-3318
Phone 305-253-3391 · Fax 305-251-7490
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