Individual
KELLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
232 TETHER WAY, DOYLESTOWN, PA 18901-5733
(267) 885-4971
Mailing address
232 TETHER WAY, DOYLESTOWN, PA 18901-5733
(267) 885-4971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024451
NY
225X00000X
Occupational Therapist
OC016653
PA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/16/2020
Last updated
11/17/2020
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