Individual
MS. MELISSA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-2001
Mailing address
5710 S 900 E APT 10, MURRAY, UT 84121-1046
(801) 815-2681
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3463504202
UT
Other
Enumeration date
12/02/2010
Last updated
12/16/2010
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