NPI 1124401963

Gabriel Wilson, DPT

Practitioner Orthopedic Physical Therapist Fairmont, WV

Practice location

Address: 719 Fairmont Ave Suite 102, Fairmont, WV 26554-5118
Phone: (304) 363-8543
Fax: (304) 363-1073

Registered specialties

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence PT003494 (WV)

Other Physical Therapist providers in West Virginia →

Registry record

NPI: 1124401963
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2015
Record last updated: 29 Jun 2015

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.