Individual
ALYSON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N6497 ELM DR, OCONOMOWOC, WI 53066-9013
(920) 285-1857
Mailing address
N6497 ELM DR, OCONOMOWOC, WI 53066-9013
(262) 490-1329
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
LT-0500.8000-200
WI
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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