TIERRA WILSON

PHILADELPHIA, PA
NPI1720717903
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT031944)
Additional Taxonomies2251N0400X Physical Therapist, Neurology
(Licence: NJ  40QA02221100)
Enumeration Date2022-06-06
Last Update Date2024-09-26
Business Address
TIERRA WILSON PT, DPT
6595B ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Phone number: 215-743-2332
Mailing Address
TIERRA WILSON PT, DPT
6595B ROOSEVELT BLVD
PHILADELPHIA, PA 19149-2918
Phone number: 215-743-2332