Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMAR TRAVIS WILSON, PTA
Active Sole ProprietorMR. JAMAR TRAVIS WILSON, PTA is a Occupational Therapist healthcare provider located in ELLENWOOD, Georgia. NPI 1710678305 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ELLENWOOD, GA
Registration Details
- NPI Number
- 1710678305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2023 (3.228379507311 yrs)
- Last Updated
- May 16, 2023
- License
-
002523 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3868 VILLAGE CROSSING LNELLENWOOD, GA, 302945724Browse GA providers · Browse ZIP 30294
- Phone
- 7065896652
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| TEKIA MARIE ROSS | PTA | 1508321050 |
| MONICA KENDRICK | PTA | 1720826167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.