Individual
ALLISON MAKAYLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 MEMORIAL BLVD, PICAYUNE, MS 39466-5545
(769) 242-2636
Mailing address
405 MEMORIAL BLVD, PICAYUNE, MS 39466-5545
(769) 242-2636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4232
MS
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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