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Individual

BRITTANY WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 W NORTH ST, GEORGETOWN, DE 19947-2137
(302) 854-6575
Mailing address
110 W NORTH ST, GEORGETOWN, DE 19947-2137
(302) 854-6575

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
AO1997
MD
224Z00000X
Occupational Therapy Assistant
Primary
U20001351
DE

Other

Enumeration date
03/06/2014
Last updated
03/06/2014
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