KELLEY WILSON

CHICAGO, IL
NPI1114789401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070027807)
Additional Taxonomies225100000X Physical Therapist
(Licence: IN  05015428A)
Enumeration Date2024-01-23
Last Update Date2024-01-30
Business Address
KELLEY WILSON DPT
1611 W HARRISON ST STE 107
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
Mailing Address
KELLEY WILSON DPT
1611 W HARRISON ST STE 107
CHICAGO, IL 60612-4861
Phone number: 877-632-6637