Joseph Charles Wilson, DPT

NPI #1245806199 in Blaine, Minnesota

Provider Information

NPI Number: 1245806199
Entity Type: Individual
Name: Joseph Charles Wilson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 1, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 1630 101ST AVE NE STE 160
City: Blaine
State: Minnesota
ZIP Code: 55449-3403
Phone: (952) 522-8007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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