Individual
MARTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7550 FRANCE AVE S STE 220, EDINA, MN 55435-4762
(612) 859-7709
(612) 326-1974
Mailing address
7550 FRANCE AVE S STE 220, EDINA, MN 55435-4762
(612) 859-7709
(651) 481-8649
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102973
MN
Other
Enumeration date
09/08/2008
Last updated
07/21/2022
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