Annetta Wilson, P.T. is a specialist in Moscow, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Annetta Wilson, P.T. NPI is 1891025482. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
640 N EISENHOWER ST
MOSCOW, ID
ZIP 83843-588
Phone: (208) 882-6560
Fax: (208) 882-6569
The enumeration date for this NPI number is 1/5/2010 and was last updated on 1/5/2010.