Wilson Physical Therapy

NPI #1851591150 in Fargo, North Dakota

Provider Information

NPI Number: 1851591150
Entity Type: Organization
Organization Name: Wilson Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jul 24, 2007
Last Updated: Jul 24, 2007

Practice Location

Address: 3101 BROADWAY N
Address 2: SUITE C
City: Fargo
State: North Dakota
ZIP Code: 58102-1485
Phone: (701) 526-3498

Authorized Official

Name: JAY WILSON, DPT
Title: PRESIDENT
Phone: (701) 526-3498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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