| Doctor Name: | KAREN WILSON |
| NPI Number: | 1083895254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | 8106 |
| Business Practice Address: | 100 Erdman Way Leominster, MA - 014531804 |
| Business Phone Number: | 9788409354 |
| Business Fax Number: | 9788409389 |
| Mailing Address: | 123 Constitution Dr, LEOMINSTER |
| State: | MA |
| Postal Code: | 014532547 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 8106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |