MS. Amber Tanisha Wilson, CPHT

NPI #1023388923 in Reynoldsburg, Ohio

Provider Information

NPI Number: 1023388923
Entity Type: Individual
Name: MS. Amber Tanisha Wilson, CPHT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: CPHT
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 7070 TOMAHAWK TRL
City: Reynoldsburg
State: Ohio
ZIP Code: 43068-4806
Phone: (614) 517-9587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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