Individual
BRITAIN PRUITT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
4640 MARTIN RD, SUITE 300, CUMMING, GA 30041-5542
(678) 679-1261
(678) 679-1265
Mailing address
9220 HANNAMILL DR, GAINESVILLE, GA 30506-8047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005571
GA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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