Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 PARKMAN ST, WANG AMBULATORY CARE CENTER, ROOM 136, BOSTON, MA 02114-3117
(617) 726-3023
Mailing address
121 TREMONT ST # 2, MALDEN, MA 02148-2717
(860) 604-1948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19767
MA
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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