Individual
JUSTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 CHARLES ST # MA, BOSTON, MA 02114-4607
(703) 232-2517
Mailing address
139 WASHINGTON AVE, CHELSEA, MA 02150-3933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18451
MA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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