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Grant Wilson, MS, ATC, LAT

NPI 1467493031 · on the registry since 2006 · sole proprietor

Practice

Address
140 Patrick Gym 97 Spear St
Burlington, VT 05405
Phone
(802) 656-9951

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont