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Individual

KATEE MARY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA, LMT

Contact information

Practice address
1662 POST RD UNIT A3, WELLS, ME 04090-4638
(207) 730-0539
Mailing address
1662 POST RD UNIT A3, WELLS, ME 04090-4638
(207) 730-0539

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
007365-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
3506
MA
225700000X
Massage Therapist
MT1271
ME

Other

Enumeration date
04/02/2012
Last updated
06/19/2015
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