Individual
MISS ADRIENNE A WILSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 N UNIVERSITY DR # 105-109, CORAL SPRINGS, FL 33071-8903
(954) 356-2878
Mailing address
3756 CORAL TREE CIR, COCONUT CREEK, FL 33073-4424
(954) 856-8450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16298
FL
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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