Wilson, Rae

Wilson, Rae is an individual health care provider with primary practice located at 97 Dover St Ste 200 , Avon IN 46123-7356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wilson, Rae can be contacted via phone (317) 272-1954.

Contact Information

Primary practice address
97 Dover St Ste 200 Avon IN 46123-7356
Phone: (317) 272-1954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0000010223 Tennessee

Profile Details

NPI number 1881764785
LBN Legal business name Wilson, Rae
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Apr 24th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881764785 NPPES
Indiana Other 05007942A LICENSE#

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