Search › Pennsylvania › 225100000X
Tierra Wilson, PT, DPT
NPI 1720717903 · on the registry since 2022
Practice
- Address
- 6595b Roosevelt Blvd
Philadelphia, PA 19149 - Phone
- (215) 743-2332
- Clinicians at this address
- 12
Additional practice sites
- 523 Fellowship Rd Ste 290, Mount Laurel, NJ
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2251N0400X
- Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania