Individual
KRISTA KENDALL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, CHT
Contact information
Practice address
61 CAMPUS DR STE 128, MARTINSBURG, WV 25404-7542
(304) 596-5193
(304) 596-5194
Mailing address
61 CAMPUS DR STE 128, MARTINSBURG, WV 25404-7542
(304) 596-5193
(304) 596-5194
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06207
MD
225XH1200X
Hand Occupational Therapist
Primary
1380
WV
Other
Enumeration date
04/17/2009
Last updated
09/20/2024
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