MR. Jamie Johnston Wilson, PTA

NPI #1114190576 in Salem, Missouri

Provider Information

NPI Number: 1114190576
Entity Type: Individual
Name: MR. Jamie Johnston Wilson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: HWY 72 WEST
City: Salem
State: Missouri
ZIP Code: 65560
Phone: (573) 729-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Physical Therapy Assistant	225200000X	Primary

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