MRS. Diane Alice Wilson, RPT

NPI #1821295049 in Stanberry, Missouri

Provider Information

NPI Number
1821295049
Entity Type
Individual
Name
MRS. Diane Alice Wilson, RPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
RPT
Enumeration Date
Jun 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
307 N PINEVIEW ST
ZIP Code
64489-1509
Phone
(660) 783-2118

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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