Charles Louis Wilson, LMT

NPI #1538715305 in Ocean Springs, Mississippi

Provider Information

NPI Number: 1538715305
Entity Type: Individual
Name: Charles Louis Wilson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 16, 2019
Last Updated: Aug 16, 2019

Practice Location

Address: 2900 GOVERNMENT ST STE A
City: Ocean Springs
State: Mississippi
ZIP Code: 39564-5647
Phone: (228) 861-5832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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