Individual
GLORIA JEAN WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 E NEW LENOX RD, PITTSFIELD, MA 01201-8321
(413) 447-9132
Mailing address
630 E NEW LENOX RD, PITTSFIELD, MA 01201-8321
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2265
MA
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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