Individual
HANNAH JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(269) 753-4247
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(269) 753-4247
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
5201014071
MI
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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