Individual
MRS. LESIA BARBARA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 PARKMAN ST, ROOM 134, BOSTON, MA 02114-3117
(617) 962-1321
Mailing address
50 PINCKNEY ST, #3, BOSTON, MA 02114-4800
(617) 962-1321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17145
MA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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