Individual
JOSEPH CHARLES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1630 101ST AVE NE STE 160, BLAINE, MN 55449-3403
(952) 522-8007
Mailing address
6700 FRANCE AVE S, STE 300, EDINA, MN 55435-1908
(952) 913-2907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12183
MN
Other
Enumeration date
06/01/2021
Last updated
06/22/2021
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