Doctor Name: | HOLLY M WILSON |
NPI Number: | 1154549814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 16010 |
Business Practice Address: | 221 S. 6th St. Ironton, OH - 45638 |
Business Phone Number: | 7405330550 |
Business Fax Number: | 7405341111 |
Mailing Address: | 5153 Co. Rd. 16, PEDRO |
State: | OH |
Postal Code: | 45659 |
Phone Number: | 7406432396 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 16010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |