Individual
JENNIFER L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
670 JARVIS RD, AKRON, OH 44319-2538
(330) 645-0200
Mailing address
670 JARVIS RD, AKRON, OH 44319-2538
(330) 645-0200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.03782
OH
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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