MRS. Amanda Lee Wilson, OTR/L

NPI #1376946293 in O Fallon, Illinois

Provider Information

NPI Number
1376946293
Entity Type
Individual
Name
MRS. Amanda Lee Wilson, OTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Oct 6, 2014
Last Updated
Oct 6, 2014

Practice Location

Address
111 DEAN AVE
ZIP Code
62269-1614
Phone
(580) 763-7396

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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