Individual
THERESA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
508 W TRILBY RD, FORT COLLINS, CO 80526
(970) 226-4909
Mailing address
508 W TRILBY RD, FORT COLLINS, CO 80526
(970) 226-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1012657
CO
Other
Enumeration date
09/02/2018
Last updated
09/02/2018
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