| NPI | 1508130725 |
|---|---|
| Former Name | ALICIA MICHELLE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: TX 114697) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225X00000X Occupational Therapist (Licence: FL 114697) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2023-08-08 |