Individual
JUSTIN CHARLES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
14451 GRAND AVE, BURNSVILLE, MN 55306-5708
(952) 993-8700
Mailing address
8337 BARTON AVE NW, BUFFALO, MN 55313-2749
(763) 688-1987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MN
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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