Individual
AMANDA K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
411 W AGENCY RD, SUITE 1, WEST BURLINGTON, IA 52655-1704
(319) 752-7727
(319) 752-7774
Mailing address
411 W AGENCY RD, SUITE 1, WEST BURLINGTON, IA 52655-1704
(319) 752-7727
(319) 752-7774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002236
IA
Other
Enumeration date
08/07/2012
Last updated
09/16/2013
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