Jacqui R Wilson, LPTA

NPI #1023261666 in Lynchburg, Virginia

Provider Information

NPI Number: 1023261666
Entity Type: Individual
Name: Jacqui R Wilson, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Oct 28, 2008
Last Updated: Oct 28, 2008

Practice Location

Address: 1912 MEMORIAL AVE
City: Lynchburg
State: Virginia
ZIP Code: 24501-1708
Phone: (434) 845-8765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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