Jennifer Lynn Wilson, PT

NPI #1144232547 in South Windsor, Connecticut

Provider Information

NPI Number: 1144232547
Entity Type: Individual
Name: Jennifer Lynn Wilson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 13, 2006
Last Updated: Jun 25, 2015

Practice Location

Address: 1350 SULLIVAN AVE
City: South Windsor
State: Connecticut
ZIP Code: 06074-2760
Phone: (860) 697-6472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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