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1144652595
ANDREW MICHAEL WILSON
ROANOKE, VA
NPI
1144652595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603680)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- ANDREW MICHAEL WILSON PTA
3585 BRAMBLETON AVE
ROANOKE, VA 24018-6521
Phone number: 540-776-1029
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Mailing Address
-- ANDREW MICHAEL WILSON PTA
2518 EDINBURGH DR NW
ROANOKE, VA 24012-2110
Phone number: 540-354-8530
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