Individual
AMANDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
70 HAMILTON LN, WATERTOWN, CT 06795-2405
(860) 484-1680
Mailing address
70 HAMILTON LN, WATERTOWN, CT 06795-2405
(860) 484-1680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1682
CT
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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