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Contact Information

PATRICE WILSON, PTA
499 AVENUE A
#4
BAYONNE, NJ07002
 Phone: 201-898-3948
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for PATRICE WILSON · (Female)

NPI Number 1023390986
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/15/2011
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 40QB00275600
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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