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Tierra Wilson, PT,DPT
Neurology Physical Therapist in Mount Laurel, New Jersey
NPI 1720717903

Tierra Wilson is a Neurology Physical Therapist based in Mount Laurel, NJ and is specialized in Neurology. Tierra Wilson practices in Mount Laurel, NJ and has the professional credentials of PT,DPT. The NPI Number for Tierra Wilson is 1720717903 and holds a License No. 40QA02221100 (New Jersey).

The current practice location address for Tierra Wilson is 523 Fellowship Rd Ste 290, Mount Laurel, NJ and can be reached out via phone at 856-424-5552 and via fax at 856-424-5559.

Location: 523 Fellowship Rd Ste 290, Mount Laurel, NJ, 08054-3418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720717903
Provider Name
Tierra Wilson
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
523 Fellowship Rd Ste 290, Mount Laurel, NJ, 08054-3418
Phone Number
856-424-5552
Fax Number
856-424-5559
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
523 Fellowship Rd Ste 290
City
Mount Laurel
State
New Jersey
Zip
08054-3418
Phone Number
856-424-5552
Fax Number
856-424-5559
person
Provider Business Mailing Address Details
Address
523 Fellowship Rd Ste 290
City
Mount Laurel
State
New Jersey
Zip
08054-3418
Phone Number
856-424-5552
Fax Number
856-424-5559
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Neurology
Taxonomy
2251N0400X
License No.
40QA02221100 (New Jersey)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
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