Individual
JAMES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 SAINT PAUL ST, BALTIMORE, MD 21202-2618
(410) 685-7790
Mailing address
1120 SAINT PAUL ST, BALTIMORE, MD 21202-2618
(410) 685-7790
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1722
MD
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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