Individual
ROBERT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
Mailing address
24 OLD ETNA RD, LEBANON, NH 03766-1937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0602
NH
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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