Individual
JOHN M. WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
5 VOSE ST, WATERVILLE, ME 04901-5346
(207) 877-7791
Mailing address
5 VOSE ST., WATERVILLE, ME 04901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1191
ME
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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