Individual
MARTHA LYNN WILSON
Active
Individual
MARTHA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010938
VA
225X00000X
Occupational Therapist
OT.0009275
CO
225X00000X
Occupational Therapist
OT.OT.70116120
WA
Other
Enumeration date
05/23/2025
Last updated
06/19/2026
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