Individual
RHONDA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CARTER DR, NORTH MONMOUTH, ME 04265-6019
(207) 933-9775
Mailing address
75 CARTER DR, NORTH MONMOUTH, ME 04265-6019
(207) 933-9775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1668
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1668
OCCUPATIONAL THERAPY LICENSE
ME
Enumeration date
09/22/2010
Last updated
09/22/2010
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