Laura Ann Wilson

NPI #1396822615 in Chanhassen, Minnesota

Provider Information

NPI Number: 1396822615
Entity Type: Individual
Name: Laura Ann Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 300 LAKE DR E
City: Chanhassen
State: Minnesota
ZIP Code: 55317-9302
Phone: (952) 993-4380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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