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Individual

ROBERT SCOTT WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Mailing address
10310 W MARKHAM ST, SUITE 201, LITTLE ROCK, AR 72205
(501) 406-7910
(501) 251-1099

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR795
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128398721
AR
Enumeration date
01/21/2011
Last updated
01/16/2024
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