Individual ProviderAbigail WilsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address175 Medpark Dr, Somerset, KY 42503-2734(606) 679-1761PECOS EnrollmentBased on the most recent information from CMS, provider Abigail 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 5 days ago.Profile DetailsProvider ID1942031919Provider TypeIndividualFull NameWilson, AbigailCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date8/12/2024Last Updated8/12/2024Contact InformationPractice LocationPractice Address175 Medpark Dr, Somerset, KY 42503-2734Phone(606) 679-1761FaxUnlisted FaxMailing LocationMailing Address216 Armilous Rd, Russell Springs, KY 42642-9829PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense009143Kentucky