Tina A. Wilston, PTA

NPI #1336206564 in Elmira, New York

Provider Information

NPI Number: 1336206564
Entity Type: Individual
Name: Tina A. Wilston, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 555 E MARKET ST
City: Elmira
State: New York
ZIP Code: 14901-3223
Phone: (607) 733-6541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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