Deborah Wilson, PTA

NPI #1356692172 in Harlan, Kentucky

Provider Information

NPI Number: 1356692172
Entity Type: Individual
Name: Deborah Wilson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 81 BALL PARK RD
City: Harlan
State: Kentucky
ZIP Code: 40831-1701
Phone: (606) 573-8210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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