MRS. Phyllis Wilson, OTRL

NPI #1346452109 in Somerset, Kentucky

Provider Information

NPI Number: 1346452109
Entity Type: Individual
Name: MRS. Phyllis Wilson, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OTRL
Enumeration Date: May 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 160 WILSON DR
City: Somerset
State: Kentucky
ZIP Code: 42503-4595
Phone: (606) 679-5730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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