Individual
CAROLINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
Mailing address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19593
FL
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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