Provider Demographics
NPI:1952188500
Name:WILSON, ZOIE MARTHA
Entity type:Individual
Prefix:
First Name:ZOIE
Middle Name:MARTHA
Last Name:WILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3565 LAKOTA TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5900
Mailing Address - Country:US
Mailing Address - Phone:214-592-0599
Mailing Address - Fax:
Practice Address - Street 1:3565 LAKOTA TRL STE 100
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5900
Practice Address - Country:US
Practice Address - Phone:214-592-0599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist