JACQUELINE D WILSON

TUCKER, GA
NPI1508922246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  1512)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
-- JACQUELINE D WILSON PT
3760 LAVISTA RD SUITE 102
TUCKER, GA 30084-5615
Phone number: 404-248-0415
Mailing Address
-- JACQUELINE D WILSON PT
1221 PARKLAND CT SE
SMYRNA, GA 30082-4732
Phone number: 404-248-0415
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