Diez, Wilson

Diez, Wilson is an individual health care provider with primary practice located at 15 Bloomfield Ave , Montclair NJ 07042-4888. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Diez, Wilson can be contacted via phone (973) 744-2770.

Contact Information

Primary practice address
15 Bloomfield Ave Montclair NJ 07042-4888
Phone: (973) 744-2770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01827700 New Jersey

Profile Details

NPI number 1316414923
LBN Legal business name Diez, Wilson
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2018
Last updated Mar 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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