Individual
MS. PAMELA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL LMT
Contact information
Practice address
8712 VINEYARD RIDGE RD NE, ALBUQUERQUE, NM 87122-2624
(505) 255-1000
(505) 255-1000
Mailing address
PO BOX 90605, ALBUQUERQUE, NM 87199-0605
(505) 255-1000
(505) 255-1000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
517
NM
225X00000X
Occupational Therapist
1787
NM
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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