Individual
MARJORIE ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-0425
Mailing address
1570 MIDWAY PL, MENASHA, WI 54952-1165
(920) 720-1464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
645-026
WI
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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