MR. Bryan Adam Wilson, PTA

NPI #1336425685 in Olean, New York

Provider Information

NPI Number: 1336425685
Entity Type: Individual
Name: MR. Bryan Adam Wilson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 1, 2011
Last Updated: Nov 1, 2011

Practice Location

Address: 515 MAIN ST
City: Olean
State: New York
ZIP Code: 14760-1513
Phone: (716) 375-7481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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