Individual
MRS. ANGELIQUE MARIE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
895 POWERS BLVD, WAVERLY, TN 37185-1018
(931) 296-7552
Mailing address
1489 NICHOLS DR APT B, CLARKSVILLE, TN 37042-1894
(419) 306-7355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4488
TN
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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