| Doctor Name: | MS. SANDRA SLOAN WILSON |
| NPI Number: | 1235262056 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT19514 |
| Business Practice Address: | 13550 Jog Rd Ste 100 Delray Beach, FL - 334463808 |
| Business Phone Number: | 5614965144 |
| Business Fax Number: | |
| Mailing Address: | 12565 Nw 67th Dr, PARKLAND |
| State: | FL |
| Postal Code: | 330761952 |
| Phone Number: | 9547559471 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 10/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT19514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |