Doctor Name: | STEPHANIE LYNN WILSON |
NPI Number: | 1609038017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT019299 |
Business Practice Address: | 121 Wilson Rd Bentleyville, PA - 153141027 |
Business Phone Number: | 7242396116 |
Business Fax Number: | |
Mailing Address: | 1295 Grand Blvd, Ste 102 MONESSEN |
State: | PA |
Postal Code: | 150621955 |
Phone Number: | 7246846000 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT019299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |