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1265079883
JONATHAN TYLER WILSON
SHELBYVILLE, KY
NPI
1265079883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 246681)
Enumeration Date
2019-12-02
Last Update Date
2019-12-02
Business Address
JONATHAN TYLER WILSON OTR/L
711 FRANKFORT RD
SHELBYVILLE, KY 40065-9447
Phone number: 502-633-3486
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Mailing Address
JONATHAN TYLER WILSON OTR/L
1011 CHINOE RD
LEXINGTON, KY 40502-3009
Phone number: 859-585-8925
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