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1538878277
OTAVIA WILSON
HOUSTON, TX
NPI
1538878277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2173256)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
OTAVIA WILSON PTA
1321 PARK BAYOU DR
HOUSTON, TX 77077-1507
Phone number: 833-539-1367
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Mailing Address
OTAVIA WILSON PTA
19806 CAMPFIELD DR
KATY, TX 77449-6693
Phone number: 281-758-9302
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