Doctor Name: | RONALD KEITH WILSON |
NPI Number: | 1265658652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT2969 |
Business Practice Address: | 1060 6th Ave Vero Beach, FL - 329605922 |
Business Phone Number: | 7722993383 |
Business Fax Number: | 7722993367 |
Mailing Address: | 1060 6th Ave, VERO BEACH |
State: | FL |
Postal Code: | 329605922 |
Phone Number: | 7722993383 |
Fax Number: | 7722993367 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2969 |
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 |