Individual
ELIZABETH RUTH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 DRUMLIN CT STE 100, NEWARK, NY 14513-1863
(315) 332-7400
Mailing address
131 DRUMLIN CT, NEWARK, NY 14513-1863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019272-1
NY
Other
Enumeration date
06/09/2014
Last updated
12/19/2024
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