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Individual

MRS. JANE ELSPETH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT, LMT, AMT

Contact information

Practice address
39 BURTIS ST, PORTSMOUTH, VA 23702-2703
(757) 237-6214
Mailing address
39 BURTIS ST, PORTSMOUTH, VA 23702-2703
(757) 237-6214

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0019004946
VA

Other

Enumeration date
06/10/2008
Last updated
10/31/2012
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