Jonathan B Wilson, DPT | |
3551 Roger Brooke Dr., Jbsa Fort Sam Houston, TX 78234-4504 | |
(210) 916-7366 | |
Not Available |
Full Name | Jonathan B Wilson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3551 Roger Brooke Dr., Jbsa Fort Sam Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811363575 | NPI | - | NPPES |
511-68556 | Other | AL | BCBS OF AL |
P01586197 | Other | AL | MEDICARE RR |
13765704 | Other | AL | CAQH |
511-68569 | Other | AL | BCBS OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH7703 (Alabama) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jonathan B Wilson, DPT 10323 Mission Crk, Converse, TX 78109-1623 Ph: (251) 458-4199 | Jonathan B Wilson, DPT 3551 Roger Brooke Dr., Jbsa Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7366 |
Dr. Rebecca Lynn Morrell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-7901 |