Individual
ALYSSA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 NW 4TH ST, BOCA RATON, FL 33432-3826
(561) 391-8444
Mailing address
1427 SADDLERIDGE DR, ORLANDO, FL 32835-5394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8308
FL
Other
Enumeration date
11/20/2017
Last updated
01/27/2023
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