Individual
JUSTIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1800
(856) 484-5510
(856) 335-3764
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5012
(631) 359-5800
(631) 396-0864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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