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Individual
ROSS WILSON
Active
Individual
ROSS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AH 8577-PT
MA
225100000X
Physical Therapist
Primary
PTL8577
MA
Other
Enumeration date
11/22/2013
Last updated
06/19/2026
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