KIMBERLY EVONNE WILSON

VIRGINIA BEACH, VA
NPI1821226192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602685)
Enumeration Date2009-06-25
Last Update Date2009-06-25
Business Address
Ms. KIMBERLY EVONNE WILSON PTA
1005 SPRINGWOOD CT
VIRGINIA BEACH, VA 23455-6692
Phone number: 405-314-6564
Mailing Address
Ms. KIMBERLY EVONNE WILSON PTA
1005 SPRINGWOOD CT
VIRGINIA BEACH, VA 23455-6692
Phone number: 405-314-6564
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