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Individual

AUBREY L WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,OTR/L

Contact information

Practice address
524 SCHOOL ST APT 2, BERWICK, ME 03901-2876
(207) 650-5367
Mailing address
524 SCHOOL ST APT 2, BERWICK, ME 03901-2876
(207) 650-5367

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2271
NH
225X00000X
Occupational Therapist
Primary
OT2770
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3082159
NH
Enumeration date
11/19/2012
Last updated
11/06/2019
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