Individual
DAVID OLIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
300 WINDY HILL DR, LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-2986
Mailing address
300 WINDY HILL DR, LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-2986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000495A
IN
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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