Individual
DOROTHY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
2500 E HALLANDALE BEACH BLVD, SUITE 611, HALLANDALE BEACH, FL 33009-4834
(954) 454-2345
(954) 457-8242
Mailing address
7520 NW 1ST CT, PEMBROKE PINES, FL 33024-7004
(954) 966-9794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2256
OT LICENSE
FL
Enumeration date
07/13/2006
Last updated
07/09/2007
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