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Individual

MS. KENDRA ANN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18 CHESTNUT ST STE 200, WORCESTER, MA 01608-1557
(508) 757-2756
Mailing address
7 DEER HILL LN, CARVER, MA 02330-1704
(339) 832-8741

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3489
NH
225X00000X
Occupational Therapist
OT02206
RI
225X00000X
Occupational Therapist
OT24428
FL
225X00000X
Occupational Therapist
Primary
OTL15122
MA

Other

Enumeration date
10/30/2023
Last updated
06/12/2024
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