Individual
ELIZABETH KIM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-5600
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201010643
MI
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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