Doctor Name: | MRS. VERONICA GENIES WILSON |
NPI Number: | 1134259880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 15391 |
Business Practice Address: | 10605 Concord St Suite 201 Kensington, MD - 208952504 |
Business Phone Number: | 3019290688 |
Business Fax Number: | 3019469164 |
Mailing Address: | 2208 Hampshire Dr, ADELPHI |
State: | MD |
Postal Code: | 207832036 |
Phone Number: | 3014083638 |
Fax Number: | 3019469164 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |