| NPI | 1881719623 |
|---|---|
| Other Name | LANA KAY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: TX 1105500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1105500) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-03-04 |