Individual
MRS. EMILY MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 398-6020
Mailing address
5129 WINTER CT, CEDAR RAPIDS, IA 52411-7802
(319) 310-7413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01524
IA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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