Individual
MRS. ALYRIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
138 E MAIN ST, NEW IBERIA, LA 70560-3725
(337) 578-2562
Mailing address
PO BOX 373, BROUSSARD, LA 70518-0373
(337) 578-2562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/02/2021
Last updated
02/03/2022
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