NPI 1023390986

Patrice Wilson, PTA

Practitioner Physical Therapy Assistant Bayonne, NJ

Practice location

Address: 499 Avenue a #4, Bayonne, NJ 07002
Phone: (201) 898-3948

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00275600 (NJ)

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Registry record

NPI: 1023390986
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2011
Record last updated: 15 Sep 2011

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.