Individual
EMILY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 ALBEMARLE AVE SE, ROANOKE, VA 24013-2324
(540) 251-1888
Mailing address
428 ALBEMARLE AVE SE, ROANOKE, VA 24013-2324
(540) 251-1888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009380
VA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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