David Wilson, PTA

NPI #1104541358 in Sumter, South Carolina

Provider Information

NPI Number: 1104541358
Entity Type: Individual
Name: David Wilson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 10, 2022
Last Updated: Oct 10, 2022

Practice Location

Address: 625 AIDAN DR
City: Sumter
State: South Carolina
ZIP Code: 29154-6078
Phone: (803) 847-2846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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