WILSON PHYSICAL MEDICINE LLC

RED BANK, NJ
NPI1710273503
Entity TypeOrganization
Authorized ContactPAMELA EILEEN WILSON
Owner
732-842-7004
Organization Subpart ?No
Primary Taxonomy111NR0400X Chiropractor Rehabilitation
(Licence: NJ  38MC00385100)
Additional Taxonomies174400000X Specialist
(Licence: NJ  40QA01025400)
Enumeration Date2011-06-21
Last Update Date2011-11-09
Business Address
WILSON PHYSICAL MEDICINE LLC
130 MAPLE AVE SUITE 7A
RED BANK, NJ 07701-1734
Phone number: 732-842-7004
Mailing Address
WILSON PHYSICAL MEDICINE LLC
130 MAPLE AVE SUITE 7A
RED BANK, NJ 07701-1734
Phone number: 732-842-7004