Individual
ROBERT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT CLT
Contact information
Practice address
66 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1420
(973) 858-9000
Mailing address
1151 MACOPIN RD, WEST MILFORD, NJ 07480-1508
(201) 615-7317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01301400
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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