Maria Wilson, PT, LLC

Organization Active NPI Pediatric Physical Therapist · Tega Cay, SC

NPI 1972315976 · NPPES record last updated Jan 25, 2025

Key facts

NPI
1972315976
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Physical Therapist 2251P0200X
Legal business name
MARIA WILSON, PT, LLC
Practice address
653 Zinnia Way
Tega Cay, SC 29708-0185
Phone
(864) 205-8260
NPI assigned
Jan 25, 2025
Organization subpart
No

Authorized official

Name
Maria Wilson, PT
Title
Physical Therapist
Phone
(864) 205-8260

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
2251P0200X Yes

Addresses

Primary practice location

653 Zinnia Way
Tega Cay, SC 29708-0185

Mailing address

653 Zinnia Way
Tega Cay, SC 29708-0185
Phone (864) 205-8260

Other providers in Tega Cay, SC

All providers in Tega Cay, SC · Pediatric Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.