Individual
MRS. AMY KATHERINE WYLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
14 WILLIAMS ST APT B10, DANVERS, MA 01923-1988
(774) 279-4097
Mailing address
14 WILLIAMS ST APT B10, DANVERS, MA 01923-1988
(774) 279-4097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11507
MA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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