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Contact Information

GABRIEL WILSON, DPT
719 FAIRMONT AVE
SUITE 102
FAIRMONT, WV26554-5118
 Phone: 304-363-8543
 Fax: 304-363-1073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GABRIEL WILSON · (Male)

NPI Number 1124401963
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 06/29/2015
Last updated 06/29/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WV License # PT003494
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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