Individual
KAITLIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
704 LONGMIRE RD, CONROE, TX 77304-1850
(936) 441-1525
Mailing address
21801 NORTHCREST DR APT 1922, SPRING, TX 77388-4072
(832) 562-5480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119417
TX
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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