Individual
MR. GREGORY STEPHEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
551 W LANCASTER AVENUE, STAFFING PLUS, HAVERFORD, PA 19041
(610) 525-4000
(610) 526-6750
Mailing address
23 N 56TH STREET, PHILADELPHIA, PA 19139
(215) 435-8830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0C000608L
PA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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