Individual
MS. REBECCA E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4812 OAK PARK DR, LOUISVILLE, KY 40258-1320
(502) 609-1903
(502) 634-9534
Mailing address
4812 OAK PARK DR, LOUISVILLE, KY 40258-1320
(502) 609-1903
(502) 634-9534
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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