Individual
MOLLIE ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
196 BEN BURTON CIR, BOGART, GA 30622-1790
(678) 205-5437
Mailing address
108 W CANDLER ST, WINDER, GA 30680-1733
(404) 441-7123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009612
GA
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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