Individual
DUSTIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6281 TRI RIDGE BLVD, 100, LOVELAND, OH 45140-8345
(866) 791-5766
Mailing address
3340 CARDIFF AVE, 301, CINCINNATI, OH 45209-1383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06394
OH
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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