Individual
MRS. ABBY ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1619 WHITEWATER DR, WEST BEND, WI 53095-9859
(414) 238-8771
Mailing address
1619 WHITEWATER DR, WEST BEND, WI 53095-9859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4736-27
WI
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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