Individual
ELIZABETH WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7549 NORTH AVENUE, PHEONIX, AZ 85021
(888) 873-4221
Mailing address
524 BROOKWOOD LN, RAYMORE, MO 64083-9404
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
2008001152
MO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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