Lora Linn Wilson, PTA

NPI #1386955367 in Gaston, Indiana

Provider Information

NPI Number
1386955367
Entity Type
Individual
Name
Lora Linn Wilson, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jun 24, 2010
Last Updated
Jun 24, 2010

Practice Location

Address
8000 N COUNTY ROAD 600 W
City
Gaston
State
Indiana
ZIP Code
47342-9339
Phone
(765) 358-3851

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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