| Sean Alan Wilson, PT | |
|
325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403-5604 | |
| (336) 598-2472 | |
| Not Available |
| Full Name | Sean Alan Wilson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 325 Mdg, Tyndall Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639336357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11264 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | 11624 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Alan Wilson, PT 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403-5604 Ph: (336) 598-2472 | Sean Alan Wilson, PT 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403-5604 Ph: (336) 598-2472 |
Michael Reeks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7019 | |
Ms. Kendra Jo Warner, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7515 | |
Fred Kendall Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 325 Mdg 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7019 | |
Zachary Cabana, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 111-111-1111 | |
Dr. Erick Laron Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7019 |