Individual ProviderKathryn Ann WilsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1230 Pleasant Valley Dr, Baltimore, MD 21228-2649(410) 747-7965PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Ann Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598007452Provider TypeIndividualFull NameWilson, Kathryn AnnCredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date3/19/2013Last Updated3/19/2013Contact InformationPractice LocationPractice Address1230 Pleasant Valley Dr, Baltimore, MD 21228-2649Phone(410) 747-7965FaxUnlisted FaxMailing LocationMailing Address1230 Pleasant Valley Dr, Baltimore, MD 21228-2649PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense14607Maryland