Individual
BRE'ANNA MONIQUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4800 STEINER RANCH BLVD APT 21201, AUSTIN, TX 78732-2561
(979) 484-9499
Mailing address
4800 STEINER RANCH BLVD APT 21201, AUSTIN, TX 78732-2561
(979) 484-9499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118216
TX
Other
Enumeration date
06/20/2020
Last updated
12/01/2021
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