Individual
MS. ELIZABETH ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
525 THIRD AVENUE, CHULA VISTA, CA 91910
(858) 505-5460
(858) 505-5479
Mailing address
11682 AVENIDA ANACAPA, EL CAJON, CA 92019-5008
(619) 670-0534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1519
CA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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