Individual
SUSAN LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
46223
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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