| Robert Wilson, MT CLT | |
|
66 Newark Pompton Tpke, Riverdale, NJ 07457-1420 | |
| (973) 858-9000 | |
| Not Available |
| Full Name | Robert Wilson |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 66 Newark Pompton Tpke, Riverdale, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255098919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 18KT01301400 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wilson, MT CLT 1151 Macopin Rd, West Milford, NJ 07480-1508 Ph: (201) 615-7317 | Robert Wilson, MT CLT 66 Newark Pompton Tpke, Riverdale, NJ 07457-1420 Ph: (973) 858-9000 |
Avant Garde Total Wellness Centers Llc Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-858-9000 | |
Kaya T Williams, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-858-9000 |