NPI 1043413115

Shannon Leigh Wilson

Practitioner Physical Therapy Assistant Fredericksburg, VA

Practice location

Address: 5210 Sarah Lane, Fredericksburg, VA 22407
Phone: (540) 891-7434

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306001800 (VA)

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Registry record

NPI: 1043413115
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2007
Record last updated: 8 Jul 2007

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.