Lisa Wilson

NPI #1376271569 in Addison, Texas

Provider Information

NPI Number
1376271569
Entity Type
Individual
Name
Lisa Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Aug 15, 2022
Last Updated
Aug 15, 2022

Practice Location

Address
14673 MIDWAY RD STE 1-111
State
Texas
ZIP Code
75001-3171
Phone
(972) 851-1022

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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