Individual
CAITLYN ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 W MOORE ST, VALDOSTA, GA 31602-2919
(229) 253-8500
(229) 253-8522
Mailing address
200 W MOORE ST, VALDOSTA, GA 31602-2919
(229) 253-8500
(229) 253-8522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009038
GA
Other
Enumeration date
11/27/2020
Last updated
02/28/2024
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