Individual
CRYSTAL JASMEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W ANN ARBOR TRL STE 220, PLYMOUTH, MI 48170-6224
(866) 991-0900
Mailing address
801 W ANN ARBOR TRL STE 220, PLYMOUTH, MI 48170-6224
(866) 991-0900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16969
NC
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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