Doctor Name: | MR. THOMAS CHRISTOPHER WILSON |
NPI Number: | 1174521868 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 15262 |
Business Practice Address: | 3455 Highway 81 South Loganville, GA - 300523918 |
Business Phone Number: | 6786358280 |
Business Fax Number: | 6786358285 |
Mailing Address: | 3455 Highway 81 South, LOGANVILLE |
State: | GA |
Postal Code: | 300523918 |
Phone Number: | 6786358280 |
Fax Number: | 6786358285 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 15262 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |