Individual
MOLLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 LAUKAPU ST STE 2, HILO, HI 96720-4414
(808) 339-7478
Mailing address
2740 COUNTY ROAD 135, DOLA, OH 45835-9735
(567) 674-2031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
439046
OH
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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