DAVID MICHAEL WILSON

RIDGELAND, MS
NPI1538334438
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA2489)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
-- DAVID MICHAEL WILSON
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- DAVID MICHAEL WILSON
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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