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1386029064
MARISSA LOUISE WILSON
BIRMINGHAM, AL
NPI
1386029064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA7640)
Enumeration Date
2015-07-23
Last Update Date
2015-07-23
Business Address
Ms. MARISSA LOUISE WILSON PTA
1717 6TH AVENUE SOUTH ROOM 385 3RD FLOOR
BIRMINGHAM, AL 35294
Phone number: 205-975-4922
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Mailing Address
Ms. MARISSA LOUISE WILSON PTA
1717 6TH AVENUE SOUTH ROOM 385 3RD FLOOR
BIRMINGHAM, AL 35294
Phone number: 205-975-4922
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