Zachary Wilson

NPI #1619320165 in Winooski, Vermont

Provider Information

NPI Number: 1619320165
Entity Type: Individual
Name: Zachary Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 321 MAIN ST STE D
City: Winooski
State: Vermont
ZIP Code: 05404-1380
Phone: (802) 864-3785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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