Individual
MELAINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
274 GLEN RIDDLE RD, E107, MEDIA, PA 19063-5809
(484) 885-8013
Mailing address
274 GLEN RIDDLE RD, E107, MEDIA, PA 19063-5809
(484) 885-8013
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008958
PA
Other
Enumeration date
05/29/2007
Last updated
06/12/2013
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