ANNETTA WILSON, P.T.

Specialist

Active Individual
NPI: 1891025482

Practice Address

640 N EISENHOWER ST
Moscow, ID 83843

Phone: (208) 882-6560

Specialties

Specialty Code Primary License
Specialist 174400000X Yes PT-00000493 (ID)

Frequently Asked Questions

NPI 1891025482 is the National Provider Identifier for ANNETTA WILSON, P.T., a Specialist provider located in Moscow, ID. This NPI was enumerated on January 5, 2010.
ANNETTA WILSON, P.T. practices at 640 N EISENHOWER ST, Moscow, ID 83843.

Quick Facts

NPI
1891025482
Type
Individual
Enumerated
Jan 5, 2010
Last Updated
Jan 5, 2010

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