Individual
MISS KATHY L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S LINN ST, MALTA BEND, MO 65339
(660) 595-2371
Mailing address
200 S LINN ST, MALTA BEND, MO 65339
(660) 595-2371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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