George Wilson

NPI #1366802803 in Batavia, Illinois

Provider Information

NPI Number: 1366802803
Entity Type: Individual
Name: George Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Feb 25, 2016
Last Updated: Feb 25, 2016

Practice Location

Address: 414 MAIN ST
City: Batavia
State: Illinois
ZIP Code: 60510-2429
Phone: (630) 803-8723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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