Johnny Wilson

NPI #1508192352 in Yazoo City, Mississippi

Provider Information

NPI Number: 1508192352
Entity Type: Individual
Name: Johnny Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 29, 2009
Last Updated: Oct 29, 2009

Practice Location

Address: 925 CALHOUN AVE
City: Yazoo City
State: Mississippi
ZIP Code: 39194-3229
Phone: (662) 746-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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Organizations

Provider Name	Specialty	City
Oasis Health & Rehab of Yazoo City, LLC Part of Covenant Dove, LLC	Occupational Therapist	Yazoo City	AI Deep Dive

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