Individual
DANIKA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
600 GILBERT ST, SWANSEA, IL 62226-1615
(618) 567-0208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009298
IL
Other
Enumeration date
12/13/2015
Last updated
03/19/2024
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