Individual
ANDREW WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937-3566
(321) 773-8989
Mailing address
251 DISTRICT ST SE, PALM BAY, FL 32909-4786
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18573
FL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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