MR. Jay David Wilson, DPT

NPI #1104995604 in Fargo, North Dakota

Provider Information

NPI Number: 1104995604
Entity Type: Individual
Name: MR. Jay David Wilson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 7, 2006
Last Updated: Aug 7, 2007

Practice Location

Address: 3101 BROADWAY N
Address 2: SUITE C
City: Fargo
State: North Dakota
ZIP Code: 58102-1485
Phone: (701) 271-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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