Individual
JUDITH A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6011 SE TOWER DR, STUART, FL 34997-7615
(772) 286-7895
(772) 286-7894
Mailing address
6011 SE TOWER DR, STUART, FL 34997-7615
(772) 286-7895
(772) 286-7894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9292
FL
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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