Jessica Vienna Wilson, L.M.T.

NPI #1235754086 in Croton On Hudson, New York

Provider Information

NPI Number: 1235754086
Entity Type: Individual
Name: Jessica Vienna Wilson, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jun 8, 2020
Last Updated: Jun 8, 2020

Practice Location

Address: 13 RADNOR AVE FL 2
City: Croton On Hudson
State: New York
ZIP Code: 10520-2621
Phone: (212) 645-9067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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