TIFFANY RACHELLE WILSON

CHARLESTON, WV
NPI1013256890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA 001563)
Enumeration Date2013-02-13
Last Update Date2013-02-13
Business Address
-- TIFFANY RACHELLE WILSON PTA
1000 ASSOCIATION DR
CHARLESTON, WV 25311-1270
Phone number: 304-347-4372
Mailing Address
-- TIFFANY RACHELLE WILSON PTA
735 CANTERBURY DR
CHARLESTON, WV 25314-1772
Phone number:
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