John Leonard Wilson Jr., PTA

Physical Therapy Assistant · Palm Bay, FL

Individual Active NPI

NPI number 1427329887

Practice location

5405 Babcock St NE
Palm Bay, FL 32905-5020
Phone
(321) 722-9801

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NPI record

NPI
1427329887
Entity type
Individual (Type 1)
Enumeration date
January 17, 2012
Last updated
January 17, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA22760 FL

Mailing address

260 Falls Church St SW
Palm Bay, FL 32908-7115
Phone
(609) 685-0586

About John Wilson

John Leonard Wilson Jr., PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 5405 Babcock St NE, Palm Bay, FL 32905-5020. The NPI number 1427329887 was assigned on January 17, 2012 and the record was last updated on January 17, 2012.

John Wilson lists a license in the registry: #PTA22760 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Leonard Wilson Jr., PTA?

The NPI number is 1427329887.

What is the phone number of John Wilson?

The phone number listed for the practice location is (321) 722-9801.

Where is John Wilson located?

5405 Babcock St NE, Palm Bay, FL 32905-5020.

What is the taxonomy code for John Wilson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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