BENJAMIN DOUGLES WILSON

LAFAYETTE, LA
NPI1932403003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  06674)
Enumeration Date2011-01-05
Last Update Date2017-06-06
Business Address
MR. BENJAMIN DOUGLES WILSON MPT
850 N PIERCE ST SUITE A
LAFAYETTE, LA 70501-2848
Phone number: 337-261-9100
Mailing Address
MR. BENJAMIN DOUGLES WILSON MPT
11320 INDUSTRIPLEX BLVD
BATON ROUGE, LA 70809-4108
Phone number: 225-663-8238
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