Individual
ADELE JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(585) 755-0977
Mailing address
511 HERITAGE DR, HINESVILLE, GA 31313-3304
(585) 755-0977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026142
NY
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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