Individual
KAREN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
2003 MERLIN AVE, SOMERSET, KY 42503-2520
(606) 676-0545
Mailing address
2003 MERLIN AVE, SOMERSET, KY 42503-2520
(606) 676-0545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R2302
KY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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