Billie Wilson, COTA/L

NPI #1982002986 in Canton, Ohio

Provider Information

NPI Number: 1982002986
Entity Type: Individual
Name: Billie Wilson, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: COTA/L
Enumeration Date: Dec 8, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 1073 NEWBURG ST NW APT 3
City: Canton
State: Ohio
ZIP Code: 44709-1353
Phone: (234) 401-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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