NPI 1013256890

Tiffany Rachelle Wilson, PTA

Practitioner Physical Therapy Assistant Charleston, WV

Practice location

Address: 1000 Association Dr, Charleston, WV 25311-1270
Phone: (304) 347-4372
Mailing address: 735 Canterbury Dr, Charleston, WV 25314-1772

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 001563 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1013256890
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2013
Record last updated: 13 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.