Individual
LINDA S WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
731 BETA DR, MAYFIELD VILLAGE, OH 44143-2366
(440) 461-2006
(440) 461-2009
Mailing address
23825 COMMERCE PARK, STE B, BEACHWOOD, OH 44122-5837
(216) 292-6363
(216) 292-6306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002824
OH
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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