| NPI | 1639426661 |
|---|---|
| Other Name | LEAH CATHERINE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070022074) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2012027773) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2016-04-11 |