Individual
MS. NANCY J WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MST
Contact information
Practice address
105 CHESTNUT ST. AT NEEDHAM FAMILY CHIRO., SUITE 35, NEEDHAM, MA 02492
(781) 444-5144
Mailing address
224 GREENDALE AVE, NEEDHAM, MA 02494-2028
(781) 444-5144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2346
MA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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