Tiffany Rachelle Wilson
Physical Therapy Assistant
1000 Association Dr
Charleston
, West Virginia 25311-1270
Tiffany Rachelle Wilson
Physical Therapy Assistant
1000 Association Dr
Charleston
, West Virginia 25311-1270
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Tiffany Rachelle Wilson
- 735 Canterbury Dr
- Charleston, WV
- Zip : 25314-1772
- Phone :
Second Address
- Tiffany Rachelle Wilson
- 1000 Association Dr
- Charleston, WV
- Zip : 25311-1270
- Phone : (304) 347-4372
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA 001563 | WV |
National Provider Identifier
| NPI | 1013256890 |
|---|---|
| Provider Name | Tiffany Rachelle Wilson |
| First Address | Charleston, WV 25314-1772 |
| Second Address | Charleston, WV 25311-1270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2013 |
| Last Update Date | 13/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.