Individual
LOUISA VERONICA WILMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5401 POST RD, BRONX, NY 10471-2606
(718) 547-0501
Mailing address
13527 229TH ST, LAURELTON, LAURELTON, NY 11413-2525
(718) 341-1947
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0039231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000X
OCCUPATIONAL THERAPIST
NY
Enumeration date
09/26/2013
Last updated
09/26/2013
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