Individual
VICTORIA HOPE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1112 15TH ST, COLUMBUS, NE 68601-5304
(402) 564-3197
Mailing address
204 S 8TH ST, NORFOLK, NE 68701-5110
(402) 316-4717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
00574
IA
224Z00000X
Occupational Therapy Assistant
Primary
755
NE
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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