Individual
DINO ANTONIO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
23132 126TH AVE, SPRINGFIELD GARDENS, NY 11413-1303
(347) 247-1435
Mailing address
23132 126TH AVE, SPRINGFIELD GARDENS, NY 11413-1303
(347) 247-1435
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011171-1
NY
Other
Enumeration date
12/18/2008
Last updated
11/14/2022
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