Individual
RICHARD W WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 HIGH ST, WORTHINGTON, OH 43085-4057
(614) 784-0400
Mailing address
965 HIGH ST, WORTHINGTON, OH 43085-4057
(614) 784-0400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012270
OH
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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