Deanna Maxine Wilson, PTA

NPI #1487113940 in Raytown, Missouri

Provider Information

NPI Number
1487113940
Entity Type
Individual
Name
Deanna Maxine Wilson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Mar 14, 2019
Last Updated
Oct 4, 2019

Practice Location

Address
4277 STERLING AVE
ZIP Code
64133-1351
Phone
(816) 353-0060

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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