Individual
CALEB BRYANT WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-4917
(605) 668-3100
Mailing address
26255 429TH AVE, EMERY, SD 57332-7000
(605) 951-3759
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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