Individual
KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 DOROTHY ST, EL CAJON, CA 92019-3101
(619) 444-8270
Mailing address
745 EL RANCHO DR, EL CAJON, CA 92019-1141
(951) 526-8507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008547
AZ
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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