Individual
MRS. ANNE LUCIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR L
Contact information
Practice address
1545 CHURCH ST, NORTHBROOK, IL 60062
(847) 205-2201
Mailing address
1545 CHURCH ST, NORTHBROOK, IL 60062
(847) 205-2201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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