Individual
SHELBY RAYLYNN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9320 AVALON CIR, CENTERVILLE, OH 45458-4989
(937) 885-5426
Mailing address
9320 AVALON CIR, CENTERVILLE, OH 45458-4989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012092
OH
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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