Individual
KELSEY ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 SPRING MILL DR, GALLOWAY, NJ 08205-9528
(609) 385-8272
Mailing address
215 SPRING MILL DR, GALLOWAY, NJ 08205-9528
(609) 385-8272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00873300
NJ
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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