| Doctor Name: | MONTE SCOTT WILSON |
| NPI Number: | 1811989767 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PT6281 |
| Business Practice Address: | 7219 N Litchfield Rd Luke Afb, AZ - 853091529 |
| Business Phone Number: | 6238569729 |
| Business Fax Number: | |
| Mailing Address: | 3344 N Copenhagen Dr, AVONDALE |
| State: | AZ |
| Postal Code: | 853233834 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT6281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |