Individual
MRS. SYDNEY YVONNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(866) 745-2273
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(866) 745-2273
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01126
KS
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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