Doctor Name: | MRS. JENNIFER ANN WILSON |
NPI Number: | 1427494970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 6190 |
Business Practice Address: | 6281 Tri Ridge Blvd Suite 100 Loveland, OH - 451408345 |
Business Phone Number: | 8667915766 |
Business Fax Number: | |
Mailing Address: | 8215 Millview Dr, CINCINNATI |
State: | OH |
Postal Code: | 452492213 |
Phone Number: | 5134078227 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |