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1164851895
THEO WILSON
HARTFORD, CT
NPI
1164851895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 008444)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
-- THEO WILSON PT
16 AVERY HTS
HARTFORD, CT 06106-4201
Phone number: 347-490-4333
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Mailing Address
-- THEO WILSON PT
16 AVERY HTS
HARTFORD, CT 06106-4201
Phone number: 347-490-4333
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