Individual
ALEXANDRIA NICHOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1610 28TH ST, PORTSMOUTH, OH 45662-2641
(740) 354-3135
Mailing address
3033 GEPHART RD, WHEELERSBURG, OH 45694-8652
(740) 464-7648
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007776
OH
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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