Jordan Nicole Wilson, PTA

NPI #1710295951 in Bensenville, Illinois

Provider Information

NPI Number
1710295951
Entity Type
Individual
Name
Jordan Nicole Wilson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 22, 2010
Last Updated
Sep 22, 2010

Practice Location

Address
111 E WASHINGTON ST
ZIP Code
60106-2674
Phone
(630) 787-4381

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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