Individual
JACQUELINE GOLDEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15115 EASTVIEW DR, UPPERCO, MD 21155-9746
(410) 429-1906
(410) 429-1906
Mailing address
15115 EASTVIEW DR, UPPERCO, MD 21155-9746
(410) 429-1906
(410) 429-1906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01516
MD
Other
Enumeration date
05/15/2007
Last updated
07/09/2007
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