Maxine Dianna Wilson, COTA
NPI #1871801555 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1871801555
- Entity Type
- Individual
- Name
- Maxine Dianna Wilson, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Sep 16, 2010
- Last Updated
- Sep 16, 2010
Practice Location
- Address
- 10300 SOUTH WEST HIGHWAY LEXINGTON
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60615
- Phone
- (708) 945-3455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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