Individual
DONNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
17200 N MAY AVE, STE 200, EDMOND, OK 73012-9031
(405) 541-1078
(405) 216-3380
Mailing address
17200 N MAY AVE, STE 200, EDMOND, OK 73012-9031
(405) 541-1078
(405) 216-3380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
709
OK
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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