TREY ALLEN WILSON

LOUISVILLE, KY
NPI1265839153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32002760A)
Enumeration Date2014-11-20
Last Update Date2014-11-20
Business Address
-- TREY ALLEN WILSON COTA
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
Mailing Address
-- TREY ALLEN WILSON COTA
1123 W 2ND ST
ANDERSON, IN 46016-2315
Phone number: 765-774-2259