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MRS. LORI JEAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
58 NEITZ ROAD, NORTHUMBERLAND, PA 17857-0032
(570) 473-8366
(570) 473-8280
Mailing address
1355 DR. POUST ROAD, HUGHESVILLE, PA 17737-0032
(570) 584-6049
(570) 584-6049

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC009496
PA

Other

Enumeration date
08/04/2010
Last updated
08/04/2010
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