MR. Brad C Wilson, DPT,ATC

NPI #1093011595 in Mccomb, Mississippi

Provider Information

NPI Number: 1093011595
Entity Type: Individual
Name: MR. Brad C Wilson, DPT,ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT,ATC
Enumeration Date: Jan 31, 2011
Last Updated: Jul 21, 2014

Practice Location

Address: 1301 A HARRISON AVE
Address 2: PROFESSIONAL REHAB ASSOCIATES
City: Mccomb
State: Mississippi
ZIP Code: 39648
Phone: (601) 250-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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