| NPI | 1366817652 |
|---|---|
| Former Name | VICTORIA LEIGH WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039678) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02116500) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2024-12-03 |