Individual
JUNE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1269
(541) 963-1437
(541) 963-1890
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-1437
(541) 963-1890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
982567
OR
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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