Individual
MRS. WHITNEY OSBORNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 276-6012
Mailing address
3274 FM 251 N, BLOOMBURG, TX 75556-1982
(903) 556-5076
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
210558
TX
224Z00000X
Occupational Therapy Assistant
Primary
OT-A563
AR
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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