Asani Wilson, PT

NPI #1881034528 in Grants Pass, Oregon

Provider Information

NPI Number
1881034528
Entity Type
Individual
Name
Asani Wilson, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 26, 2013
Last Updated
Jun 26, 2013

Practice Location

Address
1701 NW HAWTHORNE AV
Address 2
#103
State
Oregon
ZIP Code
97526
Phone
(541) 592-6580

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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