Individual
NAIJA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5045 W 52ND ST, INDIANAPOLIS, IN 46254-1705
(131) 729-3292
Mailing address
7189 CARRIE DR, INDIANAPOLIS, IN 46237-9311
(317) 480-7141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006406A
IN
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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