Most Relevant Information
Provider Data
| NPI Number: | 1003070582 |
| Provider Name: | MICHELLE ERICA WILSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 21268 |
Most Important Dates
| Enumeration Date: | 07/15/2008 |
| Last Updated: | 07/15/2008 |
Provider Practice Location
8945 W COLONIAL DR
OCOEE
FL
347616918
Practice Location Phone/Fax
| Phone: | 4078227506 |
| Fax: | 4078227507 |
Provider Mailing Location
8945 W COLONIAL DR
OCOEE
FL
347616918
Provider Mailing Phone/Fax
| Phone: | 4078227506 |
| Fax: | 4078227507 |