ADAM WILSON

SANTA MONICA, CA
NPI1790407559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  302753)
Enumeration Date2022-09-16
Last Update Date2022-09-16
Business Address
ADAM WILSON DPT
1505 11TH ST
SANTA MONICA, CA 90401-2903
Phone number: 424-322-8585
Mailing Address
ADAM WILSON DPT
612 E NEWMARK AVE APT B
MONTEREY PARK, CA 91755-3178
Phone number: 206-484-5145
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PHASE IV