National Provider Identifier
Ellen B Wilson, P.T.
Ellen B Wilson, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Collins, NY and a listed phone number of (716) 532-8129.
Profile Overview
- NPI
- 1487615522
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 29, 2006
- Last Updated
- May 01, 2008
Practice Location
- 14318 Route 62
- Collins, NY 14034-9788
Phone: (716) 532-8129
Mailing Address
- 3311 Brown St
- Collins, NY 14034-9779
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1487615522
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Ellen
- Middle Name
- B
- Credential
- P.T.
- Mailing Street Address
- 3311 Brown St
- Mailing City
- Collins
- Mailing State
- NY
- Mailing ZIP Code
- 14034-9779
- Mailing Country
- US
- Practice Street Address
- 14318 Route 62
- Practice City
- Collins
- Practice State
- NY
- Practice ZIP Code
- 14034-9788
- Practice Country
- US
- Practice Phone
- (716) 532-8129
- Practice Fax
- (716) 532-9201
- Enumeration Date
- March 29, 2006
- Last Updated
- May 01, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 10489845 (NY, Caqh)