Individual
ALYSSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
170 COREY RD, BRIGHTON, MA 02135-8244
(617) 383-6624
(617) 738-0201
Mailing address
36 CONGRESS ST. APT. C, ORANGE, MA 01364
(978) 944-1437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11168
MA
225X00000X
Occupational Therapist
14-0425
NV
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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