Individual
AMELIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
24 PARK ST, PITTSFIELD, MA 01201-0900
(413) 499-6600
Mailing address
PO BOX 681, LANESBOROUGH, MA 01237-0681
(413) 345-1788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
901015618
MA
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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