Individual
MRS. KAITLIN MULVANEY-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8911 LAKEWOOD DR STE 29, WINDSOR, CA 95492-7860
(602) 579-0022
Mailing address
300 STONY POINT RD APT 145, SANTA ROSA, CA 95401-5948
(602) 579-0022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
28334
CA
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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