Individual
MR. RICHARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
3311 TOLEDO TERRACE, A-1, HYATTSVILLE, MD 20782
(301) 853-0093
(301) 853-0096
Mailing address
3311 TOLEDO TERRACE, A-1, HYATTSVILLE, MD 20782
(301) 853-0093
(301) 853-0096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02297
MD
Other
Enumeration date
10/04/2005
Last updated
07/09/2007
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