Individual
MRS. JILL ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5340
(701) 780-1942
Mailing address
PO BOX 6002, GRAND FORKS, ND 85206-6002
(701) 780-5340
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
101984
MN
225X00000X
Occupational Therapist
Primary
658
ND
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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