Individual
MS. CAROLINE L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
31 LAURA LN, GORHAM, ME 04038-2781
(401) 632-6030
Mailing address
31 LAURA LN, GORHAM, ME 04038-2781
(401) 632-6030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
482613
ME
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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