Individual
MRS. JESSICA DANIELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
244 MOUNTAINVIEW RD, SHERMANS DALE, PA 17090-7904
(717) 676-3689
Mailing address
244 MOUNTAINVIEW RD, SHERMANS DALE, PA 17090-7904
(717) 676-3689
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005725
PA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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