AMANDA LEE WILSON

O FALLON, IL
NPI1376946293
Former NameAMANDA LEE POOLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2013003175)
Enumeration Date2014-10-06
Last Update Date2014-10-06
Business Address
Mrs. AMANDA LEE WILSON OTR/L
111 DEAN AVE
O FALLON, IL 62269-1614
Phone number: 580-763-7396
Mailing Address
Mrs. AMANDA LEE WILSON OTR/L
111 DEAN AVE
O FALLON, IL 62269-1614
Phone number: 580-763-7396
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