Laura Wilson, PT

NPI #1942211610 in Melbourne Beach, Florida

Provider Information

NPI Number: 1942211610
Entity Type: Individual
Name: Laura Wilson, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 368 NIKOMAS WAY
City: Melbourne Beach
State: Florida
ZIP Code: 32951-3527
Phone: (321) 676-4684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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