Individual
LUCY MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
4148 WINNETKA AVE N, NEW HOPE, MN 55427-1210
(763) 504-8000
Mailing address
4148 WINNETKA AVE N, NEW HOPE, MN 55427-1210
(763) 504-8000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
05/13/2026
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