Lucas Bo Wilson, MPT
NPI #1053428698 in Redding, California
Provider Information
- NPI Number
- 1053428698
- Entity Type
- Individual
- Name
- Lucas Bo Wilson, MPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 405 REDCLIFF DR
- Address 2
- SUITE 100
- City
- Redding
- State
- California
- ZIP Code
- 96002-0157
- Phone
- (530) 246-2467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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