Shane Wilson
Shane Wilson is a Rehabilitation Practitioner in Sparks, Nevada. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
741 Rancho Via DrSparks, NV 89434-4051
Phone: (775) 223-9040
Fax: (775) 453-1502
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1245548239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 23, 2010 |
| Last updated in NPPES | September 23, 2010 |
| Mailing address | 741 Rancho Via Dr, Sparks, NV 89434-4051 |
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