Individual
ANGEL MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
345 E MULBERRY ST, LANCASTER, OH 43130-3166
(740) 243-0041
Mailing address
3276 MEADOWBROOK DR NE, LANCASTER, OH 43130-8505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005562
OH
Other
Enumeration date
11/21/2012
Last updated
11/25/2014
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