Jennifer Wilson

NPI #1114576071 in Kenansville, North Carolina

Provider Information

NPI Number: 1114576071
Entity Type: Individual
Name: Jennifer Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 4, 2019
Last Updated: Sep 4, 2019

Practice Location

Address: 209 BEASLEY ST
City: Kenansville
State: North Carolina
ZIP Code: 28349-8727
Phone: (910) 296-1561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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