MRS. Nicole M. Wilson, C.O.T.A.
NPI #1790093748 in Grand Island, New York
Provider Information
- NPI Number
- 1790093748
- Entity Type
- Individual
- Name
- MRS. Nicole M. Wilson, C.O.T.A.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- C.O.T.A.
- Enumeration Date
- Sep 23, 2010
- Last Updated
- Sep 23, 2010
Practice Location
- Address
- 1801 GRAND ISLAND BLVD
- City
- Grand Island
- State
- New York
- ZIP Code
- 14072-2171
- Phone
- (716) 773-4323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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