Individual
JARRAYA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
875 ROUTE 202/206, BRIDGEWATER, NJ 08807-1861
(908) 895-2033
Mailing address
7901 HENRY AVE APT A111, PHILADELPHIA, PA 19128-3093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00697900
NJ
225X00000X
Occupational Therapist
OC011183
PA
Other
Enumeration date
02/11/2010
Last updated
03/17/2018
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