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Individual

EMILY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
(606) 589-4734
Mailing address
1008 COLDIRON HTS, BAXTER, KY 40806-8418

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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