Doctor Name: | KARIE I WILSON |
NPI Number: | 1659719540 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 10321 |
Business Practice Address: | 10320 W Mcdowell Rd Suite N1447 Avondale, AZ - 853924863 |
Business Phone Number: | 6239074400 |
Business Fax Number: | 6239074610 |
Mailing Address: | 3050 N Litchfield Rd, Suite 100 GOODYEAR |
State: | AZ |
Postal Code: | 853957804 |
Phone Number: | 6239350626 |
Fax Number: | 6239355551 |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |