Individual
EMILY CATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
21450 ARCHWOOD CIR, FARMINGTON HILLS, MI 48336-4127
(248) 477-7400
Mailing address
382 KEELSON DR, DETROIT, MI 48215-3068
(586) 610-3192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008419
MI
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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