Christopher Reshaud Wilson PTA

NPI 1588979199 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1588979199
Gender Male
Enumeration Date 08/09/2010
Last Updated 08/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5001 STATESMAN DR
IRVING TX, 75063-2414, US
Phone (877) 853-1601
Fax
Business Location
320 HAYTER DR
MORRISTOWN TN, 37813-2625, US
Phone (423) 258-1416
Fax
Toxanomy
Taxonomy Code 225200000X
License State Tennessee
License Number 4777
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According to our database, Christopher Reshaud Wilson PTA NPI is 1588979199, taxonomy code is 225200000X and license number is 4777, license state is located at Tennessee. Christopher Reshaud Wilson PTA physically located at 5001 Statesman Dr, Irving TX, 75063-2414. NPI Number Christopher Reshaud Wilson PTA has the Individual type.

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1588979199 NPI number is provided on an as is basis without warranty of any kind. 1588979199 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Reshaud Wilson PTA are for informational purposes only.