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Individual

LEAH S WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102490
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1949119
AMERICA'S PPO
MN
01
298R6WI
BCBS
MN
05
40876100
WI
01
6404110
MEDICA / SELECT CARE
MN
01
HP38833
HEALTH PARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/08/2007
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