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1174284517
ELLEN ROSE WILSON
CASTRO VALLEY, CA
NPI
1174284517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 297108)
Enumeration Date
2022-01-07
Last Update Date
2022-01-07
Business Address
ELLEN ROSE WILSON PT, DPT
19960 SANTA MARIA AVE
CASTRO VALLEY, CA 94546-4220
Phone number: 510-999-8936
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Mailing Address
ELLEN ROSE WILSON PT, DPT
2019 SHORELINE DR APT 315
ALAMEDA, CA 94501-6110
Phone number: 925-989-7914
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