Doctor Name: | MRS. JILL P WILSON |
NPI Number: | 1952338535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | PT005045 |
Business Practice Address: | 10 Public Square Andover, OH - 44003 |
Business Phone Number: | 4402934420 |
Business Fax Number: | 4402934670 |
Mailing Address: | 10 Public Square, Po Box 728 ANDOVER |
State: | OH |
Postal Code: | 44003 |
Phone Number: | 4402934420 |
Fax Number: | 4402934670 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT005045 |
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 |