Miranda Wilson, DPT

NPI #1639746092 in Meridian, Idaho

Provider Information

NPI Number: 1639746092
Entity Type: Individual
Name: Miranda Wilson, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Physical Therapy
Credential: DPT
Enumeration Date: Jun 4, 2021
Last Updated: Jun 4, 2021

Practice Location

Address: 2316 S EAGLE RD
City: Meridian
State: Idaho
ZIP Code: 83642-2665
Phone: (208) 286-2707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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