Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 STRAITS TPKE STE 303, MIDDLEBURY, CT 06762-1836
(203) 596-0400
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1021
CT
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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