WILSON DIEZ

MONTCLAIR, NJ
NPI1316414923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01827700)
Enumeration Date2018-11-01
Last Update Date2020-03-18
Business Address
WILSON DIEZ PT, DPT
15 BLOOMFIELD AVE
MONTCLAIR, NJ 07042-4888
Phone number: 973-744-2770
Mailing Address
WILSON DIEZ PT, DPT
PO BOX 5261
SOMERSET, NJ 08875-5261
Phone number: 732-486-9809