Brandy Mikel Wilson, PTA
NPI #1821833328 in Everson, Washington
Provider Information
- NPI Number
- 1821833328
- Entity Type
- Individual
- Name
- Brandy Mikel Wilson, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 26, 2024
- Last Updated
- Feb 1, 2025
Practice Location
- Address
- PO BOX 634
- City
- Everson
- State
- Washington
- ZIP Code
- 98247-0634
- Phone
- (360) 966-4810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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