MRS. Jovene Idana Wilson, OTR-L

NPI #1316321391 in Harlan, Kentucky

Provider Information

NPI Number: 1316321391
Entity Type: Individual
Name: MRS. Jovene Idana Wilson, OTR-L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR-L
Enumeration Date: Jul 19, 2015
Last Updated: Jul 19, 2015

Practice Location

Address: 41 HENDRICKSON PASS
City: Harlan
State: Kentucky
ZIP Code: 40831-7117
Phone: (606) 574-9245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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