NPI 1073511804

Thomas Michael Wilson, CPEDCO

Practitioner Orthotist Cincinnati, OH

Practice location

Address: 2375 Florence Ave, Cincinnati, OH 45206-2466
Phone: (513) 281-2800
Fax: (513) 281-0420
Mailing address: 446 Ivy Ridge Dr, Cold Spring, KY 41076-8842

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence LO 215 (OH)

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Registry record

NPI: 1073511804
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2005
Record last updated: 9 Apr 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.