Individual
KIMBERLY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6608 COVINGTON CV, CANFIELD, OH 44406-8161
(330) 519-9623
Mailing address
6608 COVINGTON CV, CANFIELD, OH 44406-8161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OH 1779
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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