Wilson, Tierra

Wilson, Tierra is an individual health care provider with primary practice located at 523 Fellowship Rd Ste 290 , Mount Laurel NJ 08054-3418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Wilson, Tierra can be contacted via phone (856) 424-5552.

Contact Information

Primary practice address
523 Fellowship Rd Ste 290 Mount Laurel NJ 08054-3418
Phone: (856) 424-5552
Fax: (856) 424-5559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 40QA02221100 New Jersey

Profile Details

NPI number 1720717903
LBN Legal business name Wilson, Tierra
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2022
Last updated Nov 10th, 2023 - about 2 years 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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