Individual
MR. KRISTOPHER EDWARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
1280 HARBOUR TOWN DR, ORANGE PARK, FL 32065-2562
(904) 710-8571
Mailing address
1280 HARBOUR TOWN DR, ORANGE PARK, FL 32065-2562
(904) 710-8571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT13205
FL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/06/2008
Last updated
04/17/2023
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