Individual
ASHLEY NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Mailing address
5408 REHN RD UNIT A, FORT SILL, OK 73503-3444
(502) 655-8386
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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