Individual
VICTOR CURTIS WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(914) 631-9020
Mailing address
8B GARFIELD PARK, EDISON, NJ 08837-2522
(201) 618-5542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00136900
NJ
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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